Questions 53

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn Updated 2023 Questions

Extract:

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: B,D,E

Rationale: Jitteriness (
B), hypotonia (
D), and temperature instability (E) are signs of hypoglycemia due to low glucose affecting the nervous system and thermoregulation, unlike abdominal distention (
A) or acrocyanosis (
C), which are unrelated or normal.

Extract:

A client who has preeclampsia.


Question 2 of 5

Which of the following actions is the nurse's priority when implementing seizure precautions?

Correct Answer: C

Rationale: Padding the side rails prevents injury during a seizure, the priority for safety in preeclampsia, over the other supportive but less immediate actions.

Extract:

A client in the postpartum unit.


Question 3 of 5

Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

Correct Answer: D

Rationale: Adequate nutritional intake supports the mother's recovery during the taking-in phase, focused on her needs, unlike the other goals, which align with the taking-hold phase.

Extract:

A client who is in the second stage of labor and is experiencing a shoulder dystocia.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Assisting the client to pull their knees toward their abdomen (McRoberts maneuver) widens the pelvic outlet to relieve shoulder dystocia, unlike the other options, which are either incorrect or supplementary actions.

Extract:

A newborn who is 2 hr old.


Question 5 of 5

Which of the following findings is an indication of hypoglycemia? (Select all that apply.)

Correct Answer: B,D,E

Rationale: Jitteriness (
B), hypotonia (
D), and temperature instability (E) are signs of hypoglycemia due to low glucose affecting the nervous system and thermoregulation, unlike abdominal distention (
A) or acrocyanosis (
C), which are unrelated or normal.

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