ATI RN
Maternal Newborn Nursing Practice Questions Questions
Question 1 of 5
What history would lead you to suspect an ectopic pregnancy in a client at 8 weeks' gestation presenting with abdominal pain and bleeding?
Correct Answer: A
Rationale: A history of previous pelvic inflammatory disease (PI
D) treatment would lead to suspicion of an ectopic pregnancy in a client presenting with abdominal pain and bleeding at 8 weeks' gestation. PID can cause scarring and damage to the fallopian tubes, increasing the risk of an ectopic pregnancy where the fertilized egg implants outside of the uterus, usually in the fallopian tubes. Symptoms of an ectopic pregnancy can include abdominal pain, vaginal bleeding, and signs of shock, making it important to consider this possibility in a client with a history of PID.
Question 2 of 5
The nurse is caring for a client in the postpartum period. What finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: Large clots in lochia rubra may indicate retained placental fragments or postpartum hemorrhage.
Question 3 of 5
Which complication of adolescent pregnancy should the nurse plan to monitor?
Correct Answer: D
Rationale: Incompetent cervix, also known as cervical insufficiency, is a condition where the cervix begins to dilate and efface prematurely due to weak cervical tissue. This can lead to late miscarriage or preterm birth. Adolescent mothers are at a higher risk for this complication due to their immature reproductive systems.
Therefore, the nurse should plan to monitor for signs and symptoms of incompetent cervix in adolescent pregnant clients to prevent adverse maternal and fetal outcomes. Anemia, placenta previa, and abruptio placenta are other potential complications of pregnancy, but they are not specifically associated with adolescent pregnancy.
Question 4 of 5
The nurse received end of shift report in a high-risk maternity unit. Which patient should the nurse see first?
Correct Answer: C
Rationale: The patient who should be seen first is the 35 weeks' gestation with grade I abruptio placenta in labor who has a strong urge to push. Abruptio placenta is a serious condition where the placenta detaches from the uterine wall before delivery, leading to significant bleeding and potential compromise to both the mother and baby. The strong urge to push indicates that the baby is in distress and immediate intervention is required to prevent potential harm. This patient needs urgent assessment and intervention to ensure the safety of both the mother and the baby.
Question 5 of 5
The laboring person asks the nurse to review the birth plan. What item is on a typical birth plan?
Correct Answer: C
Rationale: Birth plans often include preferences for birthing positions to promote comfort and effectiveness.