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ATI RN Maternal Newborn Updated 2023

Total Questions : 53

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Question 1:

A nurse is caring for a client who is in labor and experiences abruptio placenta.

Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 2:

A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.

Which of the following vaccines should the nurse plan to administer?

Answer and Explanation

A
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Question 3:

A nurse is assessing a newborn who was born via a forceps-assisted birth.

Which of the following findings should the nurse identify as an injury caused by the forceps?

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who is taking an oral contraceptive.

The nurse should instruct the client to report which of the following findings to the provider immediately?

Answer and Explanation

A
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Question 5:

A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb). Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?

Answer and Explanation

A
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Question 6:

A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?

Answer and Explanation

A
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Question 7:

A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.

Which of the following information should the nurse include?

Answer and Explanation

A
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Question 8:

A nurse is caring for a client who is postpartum and has a perineal laceration. Which of the following findings places the client at risk for delayed wound healing?

Answer and Explanation

A
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Question 9:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

Answer and Explanation

A
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Question 10:

A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin. Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 11:

A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 12:

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia.

The provider instructs the nurse to perform the McRoberts maneuver.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 13:

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

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 14:

A nurse manager is revising a maternal unit policy to ensure proper identification of newborns.

Which of the following should the nurse include in the policy?

Answer and Explanation

A
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Question 15:

A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.

Which of the following clinical manifestations should the nurse expect as a therapeutic effect of the medication?

Answer and Explanation

A
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Question 16:

A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily.

Available is metronidazole 500 mg tablets.

How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth.

Use a leading zero if it applies.

Do not use a trailing zero.).

Answer and Explanation
Correct Answer: 0.5 tablets

Explanation

The correct answer is 0.5 tablet(s). Calculation: The client needs 250 mg per dose, and each tablet is 500 mg. So, 250 mg (required dose) divided by 500 mg (tablet strength) equals 0.5 tablets.


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Question 17:

A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

Answer and Explanation

A
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Question 18:

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.

Which of the following responses by the nurse is appropriate?

Answer and Explanation

A
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Question 19:

A nurse is providing teaching to a new parent about findings that require notification of the newborn's provider.

Which of the following newborn clinical manifestations should the nurse include in the teaching?

Answer and Explanation

A
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Question 20:

A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization.

Which of the following information should the nurse provide to the client?

Answer and Explanation

A
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Question 21:

A nurse is calculating the estimated date of birth using Nägele's rule for a client who is pregnant and whose last menstrual cycle started June 21. Which of the following is the estimated date of delivery in the next year?

Answer and Explanation

A
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Question 22:

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

Answer and Explanation

A
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Question 23:

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

Answer and Explanation

A
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Question 24:

A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?

Answer and Explanation

A
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Question 25:

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.

Which of the following actions should the nurse take?

Answer and Explanation

A
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