ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reviewing the history of a client who is pregnant.
Question 1 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: A
Rationale: A history of cervical cerclage indicates cervical insufficiency, a known risk factor for preterm delivery. The other findings do not directly correlate with preterm risk.
Question 2 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: A
Rationale: A history of cervical cerclage indicates cervical insufficiency, a known risk factor for preterm delivery. The other findings do not directly correlate with preterm risk.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Closing the newborn’s eyes before applying eyepatches protects them from phototherapy light, preventing retinal damage.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Nurses' Notes
Term newborn birthed via spontaneous vaginal delivery at 39 weeks of gestation. Apgar 9/9 at 5-minute score. Breastfeeding 3 to 4 times per day. Newborn has voided once since birth and has not passed meconium stool since birth.
Physical Examination
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Vital Signs
• Heart rate 154/min
• Respiratory rate 44/min
• Temperature 36.9° C (98.4° F)
Diagnostic Results
• Coombs positive (negative)
• Glucose 50 mg/dL (40 to 60 mg/dL)
Question 4 of 5
Which finding(s) from the assessment should be reported to the provider for further evaluation or intervention? Select all that apply.
Correct Answer: A, B, D
Rationale: Dry mucous membranes (
A) and low output (
D) suggest dehydration from inadequate feeding (3-4 times/day vs. 8-12). Yellow sclera (
B) indicates jaundice, needing bilirubin checks.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a lactated Ringer's bolus restores fluid volume and stabilizes blood pressure due to persistent bleeding, addressing the immediate concern of fluid loss.