ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 1 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is caring for a client who is experiencing an amniotic fluid embolism during labor.
Question 2 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Preparing for CPR is critical as amniotic fluid embolism can lead to cardiac and respiratory failure, a life-threatening emergency.
Extract:
A 32-year-old female 3 days postpartum via cesarean, reports chills, warm skin, 3+ edema, large lochia rubra, pain 5/10, temp 38.3°C, HR 110/min, BP 140/90.
Question 3 of 5
Which of the following findings require immediate follow-up? (Select all that apply)
Correct Answer: A, B, D, E, G
Rationale: Temp 38.3°C, HR 110/min, BP 140/90, large lochia rubra, and 3+ edema indicate infection, hemorrhage, or DVT, requiring urgent follow-up.
Extract:
A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.
Question 4 of 5
Complete the diagram:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A
Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.