ATI RN
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 assessing a client who is 1 hr postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A boggy fundus indicates uterine atony, a risk for hemorrhage, requiring immediate reporting. Other findings are normal at 1 hr postpartum.
Extract:
A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 3 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 assessing a newborn who was born via a forceps-assisted birth.
Question 4 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: C
Rationale: Facial asymmetry can result from forceps pressure causing bruising or nerve injury. Other findings are unrelated to forceps use.
Extract:
A nurse is assessing the newborn 24 hr later after a vacuum-assisted vaginal birth. Maternal GBS positive, received ampicillin. Apgar: HR 96/min, weak cry, some flexion, grimace, acrocyanosis, Temp 36.9°C. Labs: WBC 15,000/mm³, Hgb 19 g/dL, Hct 57%, Glucose 44 mg/dL.
Question 5 of 5
How should the nurse interpret the findings? (For each finding, specify if unrelated, improving, or worsening.)
Correct Answer: A
Rationale: A: Flaccid tone (worsening) suggests decline from 'some flexion'. B: Color consistent (unrelated) is normal variation. C: HR 140 bpm (improving) is better than 96/min. D: Temp 36.9°C (unrelated) is stable and normal.