ATI RN Maternal Newborn 2023 IV

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.)

A. Abdominal distention B. Acrocyanosis C. Temperature instability D. Hypotonia E. Jitteriness

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 client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.

Question 2 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.)

Your Answer:

Correct Answer: 0.5

Rationale: 250 mg Ã· 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.

Extract:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.

Question 3 of 5

Which of the following client statements Indicates understanding of the teaching?

A. I should avoid breastfeeding for 2 weeks following the immunization.' B. I should avoid becoming pregnant for at least 1 month following the immunization.' C. I will report joint pain that develops after the immunization to my provider immediately.' D. I will receive a series of three immunizations and each one will be a month apart.'

Correct Answer: B

Rationale: Avoiding pregnancy for 1 month post-rubella vaccination prevents potential fetal risk from the live vaccine. Breastfeeding is safe, joint pain is mild and expected, and itâ€™s a single dose.

Extract:

A nurse is caring for a client who is postpartum and has a perineal laceration.

Question 4 of 5

Which of the following findings places the client at risk for delayed wound healing?

A. The client cleans the perineum with a squeeze bottle after urinating. B. The client's perineal suture line is well-approximated. C. The client is changing the perineal pad once daily. D. The client is using witch hazel pads on the perineum.

Correct Answer: C

Rationale: Changing the perineal pad only once daily increases infection risk due to moisture buildup, delaying healing. Cleaning, approximation, and witch hazel support healing.

Extract:

A nurse is assessing a newborn who was born via a forceps-assisted birth.

Question 5 of 5

Which of the following findings should the nurse identify as an injury caused by the forceps?

A. Depressed anterior fontanel B. Epicanthal folds C. Facial asymmetry D. Uneven gluteal skinfolds E. Jitteriness

Correct Answer: C

Rationale: Facial asymmetry can result from forceps pressure causing bruising or nerve injury. Other findings are unrelated to forceps use.

ATI RN Maternal Newborn 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN