ATI RN Maternal Newborn 2023 IV | Nurselytic

Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

Extract:

A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration.


Question 1 of 5

Which of the following interventions should the nurse include in the plan?

Correct Answer: D

Rationale: Witch hazel pads reduce swelling and discomfort, aiding healing in third-degree lacerations. Warm packs may worsen swelling, and nerve blocks or hydrogels are not routine.

Extract:

A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).


Question 2 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.

Extract:

A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.


Question 3 of 5

How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 0.5

Rationale: 250 mg ÷ 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.

Extract:

A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen via face mask increases maternal oxygen levels, improving fetal oxygenation, and is the priority after repositioning.

Extract:

A nurse is reviewing the medical record of a newborn who is 24 hr old.


Question 5 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.

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