ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing a client who is 1 hr postpartum.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A boggy fundus indicates uterine atony, a risk for hemorrhage, requiring immediate reporting. Other findings are normal at 1 hr postpartum.
Extract:
A nurse is reviewing the medical record of a newborn who is 24 hr old.
Question 2 of 5
Which of the following findings requires intervention?
Correct Answer: C
Rationale: Central cyanosis indicates poor oxygenation, requiring immediate intervention. Other findings are within normal newborn limits.
Extract:
A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation and has preeclampsia.
Question 3 of 5
The nurse should identify that which of the following findings is indicated with HELLP syndrome?
Correct Answer: D
Rationale: Elevated AST (80 units/L) indicates liver dysfunction, a key feature of HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) in preeclampsia.
Extract:
A nurse is caring for a client in labor who has herpes simplex virus (HSV) with active lesions.
Question 4 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 newborn who was born at 39 weeks of gestation and is 36 hr old.
Nurses' Notes
Term newborn birthed via spontaneous vaginal delivery at 39 weeks of gestation. Apgar 9/9 at 5-minute score. Breastfeeding 3 to 4 times per day. Newborn has voided once since birth and has not passed meconium stool since birth.
Physical Examination
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Vital Signs
• Heart rate 154/min
• Respiratory rate 44/min
• Temperature 36.9° C (98.4° F)
Diagnostic Results
• Coombs positive (negative)
• Glucose 50 mg/dL (40 to 60 mg/dL)
Question 5 of 5
Which finding(s) from the assessment should be reported to the provider for further evaluation or intervention? Select all that apply.
Correct Answer: A, B, D
Rationale: Dry mucous membranes (
A) and low output (
D) suggest dehydration from inadequate feeding (3-4 times/day vs. 8-12). Yellow sclera (
B) indicates jaundice, needing bilirubin checks.