ATI RN
Maternal Newborn ATI Quizlet Questions
Question 1 of 5
The nurse is monitoring a client in active labor with ruptured membranes. What finding requires immediate action?
Correct Answer: C
Rationale: The correct answer is C: Fetal heart rate of 100 beats/minute. A fetal heart rate of 100 beats/minute is bradycardia, indicating fetal distress and requiring immediate action to prevent adverse outcomes. Contractions every 3-5 minutes are normal in active labor. A temperature of 100.4°F indicates a low-grade fever but is not an immediate concern unless it continues to rise. Clear amniotic fluid is a normal finding after membrane rupture and does not require immediate action. Therefore, monitoring and addressing the fetal heart rate abnormalities are crucial in this situation.
Question 2 of 5
The nurse is monitoring a postpartum client. What finding requires immediate action?
Correct Answer: B
Rationale: The correct answer is B because Lochia rubra with large clots may indicate excessive bleeding or a possible postpartum hemorrhage, which requires immediate intervention to prevent complications. A: Fundus firm and midline is a normal finding postpartum. C: Mild perineal discomfort is expected after childbirth. D: Slight swelling of the feet is common due to fluid shifts and does not require immediate action.
Question 3 of 5
The nurse is preparing a postpartum client for discharge. Which instruction is most important?
Correct Answer: B
Rationale: The correct answer is B: Report foul-smelling lochia to your doctor. This instruction is crucial because foul-smelling lochia can indicate an infection, which requires immediate medical attention to prevent complications. Reporting this to the doctor promptly ensures timely treatment. A: Avoid breastfeeding if you feel tired - Incorrect. Breastfeeding is important for the baby's nutrition and bonding, regardless of the mother's fatigue. C: Resume all physical activity immediately - Incorrect. Gradual resumption of physical activity is recommended to allow the body to heal properly. D: Stop taking your prenatal vitamins after discharge - Incorrect. Prenatal vitamins are beneficial for postpartum recovery and breastfeeding, so stopping them abruptly is not advisable.
Question 4 of 5
A young girl comes to the OB-GYN office to begin contraception. What is the most important information the nurse should find in the history before starting a contraceptive?
Correct Answer: A
Rationale: The correct answer is A: "Do your cramps prevent you from daily activities?" This question is crucial as it assesses the impact of menstrual cramps on the girl's quality of life, helping determine the suitability of different contraceptive options. Options B, C, and D are irrelevant to contraceptive choice and do not provide pertinent information regarding the girl's health or contraceptive needs.
Question 5 of 5
A woman asks about the side effects of the contraceptive implant. Which of the following should the nurse include in the discussion?
Correct Answer: B
Rationale: The correct answer is B because irregular bleeding patterns, including light spotting, are a common side effect of the contraceptive implant due to hormonal changes. This is important for the woman to be aware of to manage her expectations. Choice A is incorrect as the implant typically leads to lighter periods or no periods at all. Choice C is incorrect as weight gain is not a common side effect of the implant. Choice D is also incorrect as hair loss is not typically associated with the contraceptive implant.