ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 28-year-old female at 15 weeks gestation reports frequent nausea, vomiting, fatigue, weight loss, dizziness, no abdominal pain.
Question 1 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: A, B, C, D, E
Rationale: Sodium 132 mEq/L, urine specific gravity 1.035, potassium 3.3 mEq/L, HR 106/min, and weight loss indicate hyperemesis gravidarum complications (electrolyte imbalance, dehydration), requiring monitoring.
Extract:
A 36-hour-old male newborn, born at 39 weeks, breastfeeding 3-4 times/day, voided once, no meconium, yellow sclera.
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A, C, D
Rationale: Positive Coombs test, yellow sclera, and no meconium suggest hemolysis, jaundice, and possible obstruction, requiring provider attention.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.
Extract:
A nurse is caring for a client who is receiving terbutaline to treat preterm labor.
Question 4 of 5
What findings should the nurse identify as a potential adverse effect of this medication?
Correct Answer: A
Rationale: Heart palpitations are a common adverse effect of terbutaline, a beta-adrenergic agonist that increases heart rate.
Extract:
A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.
Question 5 of 5
The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mm³
Correct Answer: A
Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mm³ unrelated (normal range).