ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 1 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: C
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.
Question 2 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: C
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns of diabetic mothers due to rapid glucose drop post-birth.
Extract:
A nurse is administering a hepatitis B vaccine to a newborn.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The vastus lateralis is the preferred site for newborn IM injections; a 23-25 gauge needle at 90° is standard, and massage is avoided.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: A
Rationale: Flank pain is a classic sign of pyelonephritis, a kidney infection common in pregnancy due to urinary stasis.