Questions 66

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.


Question 1 of 5

Which of the following should the infant receive?

Correct Answer: B

Rationale: Newborns of hepatitis B-positive mothers should receive HBIG and hepatitis B vaccine within 12 hours to prevent infection, unlike delayed or incorrect schedules.

Extract:

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.


Question 2 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A fundus displaced to the right indicates bladder distension, which can push the uterus aside, unlike lochia amount, thirst, or contractions, which are unrelated.

Extract:

A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.


Question 3 of 5

Which of the following interpretations of these findings should the nurse make?

Correct Answer: B

Rationale: The findings are normal for 3 days postpartum (involuting uterus, moderate lochia, engorged breasts), requiring no additional interventions, unlike mastitis, which includes fever, or the need for bra removal or heat.

Extract:

A nurse is caring for a client who is postpartum and has received methylergonovine.


Question 4 of 5

Which of the following findings indicates that the medication was effective?

Correct Answer: A

Rationale: A firm fundus indicates effective uterine contractions from methylergonovine, preventing hemorrhage, unlike breast pain, increased lochia, or blood pressure changes.

Extract:

A nurse is assessing a client who is pregnant for preeclampsia.


Question 5 of 5

Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Correct Answer: A

Rationale: Elevated blood pressure (>140/90 mm Hg) is a hallmark of preeclampsia, requiring further evaluation, unlike joint pain, discharge, or increased urine output, which are unrelated.

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