ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing a newborn who is 2 hr old.
Question 1 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: D, E
Rationale: Hypotonia (
D) and jitteriness (E) are common signs of hypoglycemia in newborns due to low glucose affecting muscle tone and neurological function. The others are not specific to hypoglycemia.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 2 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 assessing a postpartum client who delivered vaginally 8 hr ago. Nurses' Notes: 0700: Breasts soft, nipples intact. Uterus firm, midline, at umbilicus. Moderate lochia rubra. Episiotomy well approximated, mild edema, ecchymosis. Pain 2/10. Able to void, no bladder distention. DTR 1+. Peripheral edema 2+ in legs. 1100: Breasts soft, nipples intact. Uterus soft, laterally deviated, 1 cm above umbilicus. Large lochia rubra. Pain 3/10. DTR 1+. Peripheral edema 2+ in legs. Vital Signs: 0700: Temp 36.2°C, Pulse 80/min, RR 16/min, BP 136/82 mmHg, SpO2 99%. 1100: Temp 37.2°C, Pulse 85/min, RR 18/min, BP 136/86 mmHg, SpO2 100%.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A, D, G
Rationale: A soft uterus (
A) risks postpartum hemorrhage. Large lochia rubra (
D) may indicate bleeding issues. Lateral uterine deviation (G) suggests a full bladder or complication. BP, edema, pain, and soft breasts are within normal limits.
Extract:
A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 4 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: 250 mg ÷ 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.
Extract:
A nurse is reviewing the medical record of a newborn who is 24 hr old.
Question 5 of 5
Which of the following findings requires intervention?
Correct Answer: C
Rationale: Central cyanosis indicates poor oxygenation, requiring immediate intervention. Other findings are within normal newborn limits.