ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: Severe vomiting in early pregnancy could be a sign of hyperemesis gravidarum, requiring immediate medical attention.
Extract:
A nurse is caring for a patient who is at 37 weeks of gestation and is being tested for Group B Streptococcus (GBS). The patient is multigravida and multipara with no history of GBS.
Question 2 of 5
Which of the following is an appropriate response by the nurse to the patient's question about why the test was not conducted earlier?
Correct Answer: D
Rationale: GBS testing is typically done between 35-37 weeks of gestation because GBS can come and go in the body, so testing during this time frame predicts its presence at delivery.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 3 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 4 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: Monitoring intake and output is directly related to breastfeeding frequency and voiding patterns. The absence of meconium stool by 36 hours could indicate a problem.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.