ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 36-hour-old male newborn, born at 39 weeks, breastfeeding 3-4 times/day, voided once, no meconium, yellow sclera.
Question 1 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 is in labor. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exerting upward pressure on the presenting part relieves cord compression, restoring fetal blood flow as the priority action.
Extract:
A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.
Question 3 of 5
Complete the diagram:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A
Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 4 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
Extract:
A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21.
Question 5 of 5
What is the estimated date of delivery in the next year?
Correct Answer: C
Rationale: Using Nagele's rule: June 21 - 3 months = March 21, + 7 days = March 28, providing the estimated delivery date.