ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Question 1 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 indicate decreased fetal movement, warranting further evaluation. The other findings (reactive NST, no late decelerations, fetal movements) are reassuring.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.
Extract:
A nurse is caring for a client in labor who has herpes simplex virus (HSV) with active lesions.
Question 3 of 5
Which of the following interventions should the nurse plan to implement to prevent the transmission of HSV to the newborn?
Correct Answer: C
Rationale: A cesarean birth prevents neonatal HSV transmission by avoiding contact with active lesions in the birth canal.
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 4 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: D
Rationale: Tetanus vaccination (Tdap) is safe and recommended during pregnancy to prevent maternal and neonatal tetanus. HPV, rubella, and varicella vaccines are contraindicated due to lack of safety data or live virus content.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a key action in the early postpartum period. Fluid bolus, restriction, and misoprostol are not indicated without severe features.