ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing a newborn who is 2 hours old.
Question 1 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply)
Correct Answer: B, D
Rationale: Temperature instability and hypotonia are signs of hypoglycemia, affecting thermoregulation and muscle tone due to low blood sugar.
Extract:
A nurse is caring for a client who is in labor. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exerting upward pressure on the presenting part relieves cord compression, restoring fetal blood flow as the priority action.
Extract:
A nurse is reviewing the history of a client who is pregnant.
Question 3 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: D
Rationale: A previous cervical cerclage indicates a history of cervical insufficiency, a known risk factor for preterm delivery.
Extract:
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Question 4 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Irregular contractions not felt by the client may suggest preterm labor, warranting further testing, unlike reactive NST findings which are normal.
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 5 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: B
Rationale: Tdap is recommended during pregnancy (typically 27-36 weeks) to protect the newborn from pertussis, especially critical if the client lacks prior immunization.