ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is 6 hr postpartum and has endometritis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Uterine tenderness. This finding is indicative of a possible infection or retained products of conception postpartum. Uterine tenderness may suggest endometritis, which requires prompt assessment and treatment. The other choices are incorrect because: A: WBC count within normal range. C: Scant lochia can be normal in the early postpartum period. D: Mild temperature elevation is common postpartum due to hormonal changes.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This is crucial in the plan of care to address potential infection post-injury. Antibiotics help prevent or treat infections that can develop in the wound site. Monitoring rectal temperature (
B) does not directly address wound care. Preparing for surgical closure (
A) can be important but addressing infection is a higher priority. Cleansing with povidone-iodine (
C) is a good practice, but antibiotics are necessary for systemic infection prevention.
Extract:
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: B
Rationale: The correct answer is B: Previous cervical cerclage. This procedure is done to prevent preterm birth in women with a history of cervical insufficiency. The placement of a cervical cerclage indicates a higher risk for preterm delivery compared to the other options. A: Previous delivery at 37 weeks gestation is not indicative of a higher risk for preterm delivery. C: Previous reactive non-stress test is a normal finding in prenatal care and does not necessarily indicate preterm delivery risk. D: Previous delivery of a newborn weighing 2.5 kg is not a strong predictor of preterm delivery risk.
Extract:
A client who is at 15 weeks of gestation during a routine prenatal visit.
Question 4 of 5
Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? Select all that apply.
Correct Answer: D,E,F
Rationale: The correct answers are D (Weight), E (Heart rate), and F (Urine-specific gravity). Weight gain outside the recommended range can indicate conditions like preeclampsia or gestational diabetes. Abnormal heart rate may suggest cardiac issues or preeclampsia. Changes in urine-specific gravity can show dehydration or kidney problems.
Choices A, B, C, and G are not direct indicators of potential pregnancy complications, though they can be affected by such complications indirectly.
Extract:
A client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 5 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A. A blood pressure of 88/40 mm Hg is indicative of hypotension, which is a common sign of hemorrhage due to decreased blood volume. Hypotension results from the body's compensatory mechanisms to maintain perfusion. Options B, C, and D are not specific indicators of hemorrhage. Urinary output of 40 mL/hr is within normal range, moderate rubra lochia is expected in the postpartum period, and a heart rate of 90/min is not necessarily abnormal. It is crucial for the nurse to recognize hypotension as a potential sign of hemorrhage to intervene promptly and prevent further complications.