ATI RN Maternal Newborn 2023 IV | Nurselytic

Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

Extract:

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


Question 1 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 planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.


Question 2 of 5

Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Assessing for edema monitors for worsening preeclampsia, a key action in the early postpartum period. Fluid bolus, restriction, and misoprostol are not indicated without severe features.

Extract:

A nurse is caring for a client who has a placenta previa.


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Painless vaginal bleeding is a hallmark of placenta previa due to placental disruption near the cervix. Painful or rigid findings suggest other conditions like abruptio placentae.

Extract:

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Closing the newborn’s eyes before applying eyepatches protects them from phototherapy light, preventing retinal damage.

Extract:

A nurse is caring for a client and their newborn.


Question 5 of 5

Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

Correct Answer: D

Rationale: Reviewing the birth experience is typical of the taking-in phase, where the mother focuses on her own needs and processing the delivery.

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