ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization.
Question 1 of 5
Which of the following information should the nurse provide to the client?
Correct Answer: A
Rationale: IVF increases the risk of multiple gestations, necessitating discussion about fetal reduction to reduce maternal and fetal risks. Donor oocytes and embryo freezing are options, and sperm is fertilized in vitro, not in utero.
Extract:
A nurse is caring for a client. Nurses' Notes: Initial visit, 1340: 29-year-old G2P0, positive hCG 2 weeks ago, LMP 7 weeks ago, vomiting daily for 2 weeks, vegetarian, poor protein intake, decreased skin turgor, moist mucous membranes, weight 79.4 kg. Vital Signs: HR 110/min, RR 18/min, BP 104/66 mmHg, Temp 36.6°C, SpO2 99%. Labs: WBC 7,500/mm³, Hgb 10.2 g/dL, Hct 45%, Platelets 360,000/mm³, Na 136 mEq/L, K 3.3 mEq/L, BUN 28 mg/dL, UA: dark amber, SG 1.045.
Question 2 of 5
Click to highlight the findings that require follow-up.
Correct Answer: A, B, C, D, E, F
Rationale: Vomiting (
A), decreased turgor (
B), low Hgb (
C), low potassium (
D), high BUN (E), and dark amber urine with high SG (F) indicate dehydration, anemia, and electrolyte imbalance needing follow-up.
Extract:
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.
Question 3 of 5
Which of the following client statements Indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding pregnancy for 1 month post-rubella vaccination prevents potential fetal risk from the live vaccine. Breastfeeding is safe, joint pain is mild and expected, and it’s a single dose.
Extract:
A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Collecting hemoglobin and hematocrit levels assesses the extent of blood loss first, guiding further interventions for potential postpartum hemorrhage.
Extract:
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 5 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: B
Rationale: Hypotension (88/40 mm Hg) indicates significant blood loss, a key sign of postpartum hemorrhage, especially after a large newborn delivery increasing uterine stretch risk.