ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is planning care for a client in the postpartum unit.
Question 1 of 5
Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
Correct Answer: D
Rationale: During the taking-in phase, the focus is on maternal recovery, making adequate nutritional intake a key goal for healing and breastfeeding support.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.
Extract:
A nurse is assessing the newborn of a client who reports methadone use during pregnancy.
Question 3 of 5
Which of the following manifestations should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Poor feeding is a common sign of neonatal abstinence syndrome (NAS) from maternal methadone use, reflecting withdrawal effects on feeding ability.
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 4 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: C. difficile is transmitted via contact with contaminated surfaces or fecal-oral route, requiring contact precautions (gloves, gown, hand hygiene) to prevent spread.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago. Nurses' Notes: 0700: Breasts soft, nipples intact. Uterus firm, midline, at umbilicus. Moderate lochia rubra. Episiotomy well approximated, mild edema, ecchymosis. Pain 2/10. Able to void, no bladder distention. DTR 1+. Peripheral edema 2+ in legs. 1100: Breasts soft, nipples intact. Uterus soft, laterally deviated, 1 cm above umbilicus. Large lochia rubra. Pain 3/10. DTR 1+. Peripheral edema 2+ in legs. Vital Signs: 0700: Temp 36.2°C, Pulse 80/min, RR 16/min, BP 136/82 mmHg, SpO2 99%. 1100: Temp 37.2°C, Pulse 85/min, RR 18/min, BP 136/86 mmHg, SpO2 100%.
Question 5 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A, D, G
Rationale: A soft uterus (
A) risks postpartum hemorrhage. Large lochia rubra (
D) may indicate bleeding issues. Lateral uterine deviation (G) suggests a full bladder or complication. BP, edema, pain, and soft breasts are within normal limits.