ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing the newborn of a client who reports methadone use during pregnancy.
Question 1 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 planning care for a client in the postpartum unit.
Question 2 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 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 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 4 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.
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 5 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.