Questions 65

ATI RN

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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.

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