ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A postpartum client who has a prescription for a rubella immunization.
Question 1 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: Avoiding pregnancy for at least 1 month post-rubella immunization is correct due to theoretical fetal risk from this live vaccine, unlike the incorrect options: breastfeeding is safe, it's a single dose, and joint pain is a mild side effect not requiring immediate reporting.
Extract:
A client who has chosen a diaphragm for birth control.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inserting the diaphragm up to 6 hours before intercourse allows spermicide activation, unlike the other incorrect instructions (leave in 6+ hours, avoid detergent, no lubricant).
Extract:
A client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Collecting hemoglobin and hematocrit levels first assesses the extent of blood loss in postpartum hemorrhage, guiding subsequent interventions, unlike the other supportive but secondary actions.
Extract:
A client who is at 35 weeks of gestation.
Question 4 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: C
Rationale: Three fetal movements in 20 minutes suggest a nonreactive nonstress test (lacking adequate heart rate accelerations), indicating potential fetal compromise and need for further testing, unlike the other reassuring findings.
Extract:
A newborn who was born at 39 weeks of gestation and is 36 hours old.
Question 5 of 5
Which of the following findings should the nurse report to the provider? Select all that apply.
Correct Answer: C,D,F
Rationale: Coombs positive (
C) suggests hemolysis, yellow sclera (
D) indicates jaundice, and no meconium with one void (F) may signal obstruction, requiring reporting, unlike the other normal findings.