ATI RN
ATI Maternal Newborn Practice Questions Questions
Question 1 of 5
When admitting a client at 33 weeks of gestation with a diagnosis of placenta previa, which action should the nurse prioritize?
Correct Answer: D
Rationale: Placenta previa is a condition where the placenta partially or completely covers the cervix, leading to potential bleeding. When admitting a client with placenta previa, the priority is to assess the fetal well-being. Applying an external fetal monitor helps in continuous monitoring of the fetal heart rate and ensures timely detection of any distress or changes in the fetal status, which is crucial in managing this condition. While monitoring vaginal bleeding is important, identifying fetal well-being takes precedence in this situation.
Question 2 of 5
A newborn's mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive?
Correct Answer: C
Rationale: In the scenario where a newborn's mother is positive for hepatitis B surface antigen, the infant should receive both hepatitis B immune globulin and hepatitis B vaccine within 12 hours of birth. This is crucial to provide passive and active immunity against the Hepatitis B virus. Hepatitis B immune globulin provides immediate protection by giving passive immunity, while the vaccine stimulates active immunity in the infant. Administering both within 12 hours of birth is important to prevent vertical transmission of the virus.
Question 3 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: A
Rationale: Delegating the task of providing a sitz bath to a client with a fourth-degree laceration and who is 2 days postpartum to the assistive personnel (AP) is appropriate. This task involves assisting the client with personal hygiene and comfort measures that can be safely performed by the AP under the supervision and direction of the nurse. Tasks like observing redness on the breast, monitoring vital signs during admission for gestational hypertension, and changing perineal pads may require a higher level of assessment and nursing judgment, making them more appropriate for the nurse to perform.
Question 4 of 5
During an assessment, a nurse is evaluating a pregnant client for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: C
Rationale: In the assessment of a pregnant client for preeclampsia, the finding that should indicate to the nurse that the client requires further evaluation for this disorder is an elevated blood pressure (option C). Preeclampsia is characterized by high blood pressure (hypertension) that develops after 20 weeks of pregnancy. Elevated blood pressure is a key indicator of preeclampsia and requires immediate attention to prevent complications for both the mother and the baby. The other options are incorrect: A) Increased urine output: Increased urine output is not typically associated with preeclampsia. In fact, decreased urine output or oliguria is more commonly seen in severe cases of preeclampsia due to reduced kidney function. B) Vaginal discharge: Vaginal discharge is not a typical sign of preeclampsia. Preeclampsia is primarily characterized by hypertension, proteinuria, and sometimes edema. D) Joint pain: Joint pain is not a specific sign of preeclampsia. Preeclampsia symptoms usually involve hypertension, headaches, visual disturbances, and swelling, rather than joint pain. Educationally, understanding the signs and symptoms of preeclampsia is crucial for nurses caring for pregnant clients as early detection and management are essential to prevent serious complications such as eclampsia, seizures, and organ damage. Regular blood pressure monitoring and thorough assessments are critical in identifying preeclampsia promptly.
Question 5 of 5
A healthcare provider in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the provider the presence of intra-abdominal bleeding?
Correct Answer: B
Rationale: Cullen's sign is the presence of periumbilical ecchymosis indicating intra-abdominal bleeding, which can be associated with a ruptured ectopic pregnancy. Chvostek's sign is a facial spasm related to hypocalcemia. Chadwick's sign is a bluish discoloration of the cervix, vagina, and labia during early pregnancy. Goodell's sign is a softening of the cervix in early pregnancy.