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ATI RN Maternal Newborn YR 2023.

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Exam Details !

Title : ATI RN Maternal Newborn YR 2023.

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : Maternal & Newborn Care (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2025

Duration : 120 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Dosage Calculation questions tailored for RN students.

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1 :
A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?

1M in right deltoid

Subcutaneous in the right deltoid

1M in left vastus lateralis

Subcutaneous in the left vastus lateralis

Hint : Think about which muscle is safest and most accessible in a neonate.

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No Correct Answers Available !

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2 :
A nurse is assessing the results of a no stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Irregular contractions of IO to 20 seconds in duration that are not felt by the client

An increase in fetal heart rate to 150/min above the baseline of 140/min lasting IO seconds in response to fetal movement within a 40-min testing period

No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period

Three fetal movements perceived by the client in a 20-min testing period

Hint : 🔎Consider what might make a non-stress test inconclusive rather than clearly reactive or nonreactive.

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3 :
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?

Human papillomavirus

Rubella

Varicella

Tetanus

Hint : 💡Live-virus vaccines are avoided during pregnancy — think protection without fetal exposure.

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4 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Apply an ice pack to the incision site.

Administer 500 m lactated Ringers IV bolus

Replace the surgical dressing

Evaluate urinary output.

Hint : 💡When massage fails and bleeding continues, think stabilization first.

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5 :
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.

Nurses' Notes
Vital signs

0700

(Breasts soft, nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra.

Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10.

Able to void spontaneously; no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.

1100

Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities

0700

Temperature 36.2" C (97.2" F) Pulse rate 80/min

Respiratory rate 16/min

Blood pressure 136/82 mm Hg

Pulse oximetry 99%

1100

Temperature 37.20 C (99.00 F)

Pulse rate 85/min

Respiratory rate 18/min

Blood pressure 136/86 mm Hg

Pulse oximetry 100%

Select the 3 findings that require immediate follow-up.

Answer Options

Uterine tone soft

Blood pressure 136/86 mm Hg

Peripheral edema bilateral lower extremities

Large amount of lochia rubra

Pain rating of 3 on a scale of O to 10

Breasts soft

Lateral deviation of the uterus

Hint : 🔎Focus on findings that relate to bleeding risk and uterine contraction issues.

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6 :
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?

Move the client onto their hands and knees.

Press firmly on the client’s suprapubic area.

Apply pressure to the client’s fundus.

Assist the client in pulling their knees toward their abdomen.

Hint : 🩺This maneuver relies entirely on maternal leg positioning to widen the pelvis.

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7 :
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?

Inform the client about the possible need tor reduction of multiple fetuses.

Instruct the client not to use donor oocytes.

Instruct the client to avoid freezing embryos for possible use in the future.

Inform the client that sperm will be introduced to the uterus during ovulation

Hint : 💡IVF often leads to more than one embryo implanting — consider possible outcomes of that.

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8 :
A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

A client who reports lochia rubra requiring changing perineal pads every 3 hr

A client who reports abdominal cramping during breastfeeding

A client who has a urinary output of 300 mL in 8 hr

A client who is receiving magnesium sulfate and has absent deep tendon reflexes

Hint : 🔔Loss of protective neuromuscular signs during magnesium therapy should never be ignored.

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9 :
A nurse is reviewing the history of a client who is pregnant. Which of the following clinical data indicates the client is at risk for preterm delivery?

Previous cervical cerclage

Previous delivery of a newborn weighing 2.5 kg (5.5 lb)

Previous reactive non-stress test

Previous delivery at 37 weeks gestation

Hint : 🔍Look for evidence of prior interventions that address structural pregnancy complications.

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10 :
A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following Information should the nurse Include?

"Hypnosis can be beneficial if you practiced it during the prenatal period."

"Synchronized breathing will be required during hypnosis."

"Focusing on controlling body functions will be helpful during hypnosis."

"Hypnosis does not work for controlling pain associated with labor."

Hint : 📝Think of hypnosis as a skill that improves with preparation, not something used spontaneously.

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Ans

ATI RN Maternal Newborn YR 2023.

No.

1 : A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?

2 : A nurse is assessing the results of a no stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

3 : 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?

4 : A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

5 : A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.

Answer Options

6 : 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?

7 : 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?

8 : A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

9 : A nurse is reviewing the history of a client who is pregnant. Which of the following clinical data indicates the client is at risk for preterm delivery?

10 : A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following Information should the nurse Include?

1 :
A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?

2 :
A nurse is assessing the results of a no stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

3 :
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?

4 :
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

5 :
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.

6 :
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?

7 :
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?

8 :
A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

9 :
A nurse is reviewing the history of a client who is pregnant. Which of the following clinical data indicates the client is at risk for preterm delivery?

10 :
A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following Information should the nurse Include?