ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 1 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: C
Rationale: Tetanus vaccine is safe and recommended during pregnancy to protect both mother and newborn, unlike live vaccines like rubella and varicella, which are contraindicated, or HPV, which is not typically given during pregnancy.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 2 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: Urinating 30 mL/hr is within the normal range (30-60 mL/hr), indicating effective voiding, unlike the other options, which suggest retention or unrelated findings.
Extract:
A postpartum client who delivered vaginally 8 hr ago.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: B,C,D
Rationale: Lateral uterine deviation (
B), large lochia rubra (
C), and soft uterine tone (
D) indicate potential hemorrhage or atony, requiring immediate follow-up, unlike the other normal or less urgent findings.
Extract:
A client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Collecting hemoglobin and hematocrit levels first assesses the extent of blood loss in postpartum hemorrhage, guiding subsequent interventions, unlike the other supportive but secondary actions.
Extract:
A newborn who was born via a forceps-assisted birth.
Question 5 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: D
Rationale: Facial asymmetry can result from forceps pressure on facial nerves during delivery, unlike the other options, which are unrelated to forceps use (depressed fontanel indicates dehydration or pressure issues, uneven skinfolds suggest hip dysplasia, and epicanthal folds are a normal variant).