ATI RN
VATI Maternal Newborn Assessment Questions
Question 1 of 9
The nurse is monitoring a client with suspected placental abruption. What is a key assessment finding?
Correct Answer: B
Rationale: A hard, rigid abdomen and severe pain are classic signs of placental abruption, requiring urgent intervention.
Question 2 of 9
During a nursing assessment the woman with rupture
Correct Answer: A
Rationale: In the scenario presented, the nurse's priority action should be to call for emergent medical assistance. A woman with a rupture during a nursing assessment could be experiencing a serious complication known as umbilical cord prolapse. This occurs when the umbilical cord slips through the cervix ahead of the baby, which can lead to compression of the cord and a serious decrease in oxygen supply to the baby. It is a medical emergency that requires immediate intervention by the healthcare team, which may include moving the mother into a knee-chest position or performing a cesarean section. Therefore, the priority action for the nurse is to ensure prompt medical intervention to protect the well-being of both the mother and the baby.
Question 3 of 9
The nurse is assessing a client at 36 weeks' gestation who reports swelling in the hands and face. What is the priority nursing action?
Correct Answer: A
Rationale: Swelling in the hands and face may indicate preeclampsia, requiring immediate blood pressure assessment.
Question 4 of 9
A patient is taking oral contraceptives and asks whether they will still be effective if she has diarrhea. What should the nurse respond?
Correct Answer: B
Rationale: Diarrhea can reduce the absorption of oral contraceptives, potentially making them less effective. Choice A is incorrect because food does not always affect oral contraceptive absorption. Choice C is incorrect because there is no need to stop the contraceptives, but additional methods may be recommended during diarrhea. Choice D is incorrect because diarrhea does not increase the effectiveness of oral contraceptives.
Question 5 of 9
What cycle day does the proliferative stage occur?
Correct Answer: A
Rationale: The proliferative stage of the menstrual cycle occurs from around cycle day 7 to cycle day 14. This stage is characterized by the growth of the endometrial lining of the uterus in response to increasing levels of estrogen produced by the developing ovarian follicles. The proliferative stage prepares the uterus for a potential embryo implantation following ovulation, which typically occurs around day 14 of a 28-day menstrual cycle.
Question 6 of 9
A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply).
Correct Answer: C
Rationale: This response indicates an understanding of the importance of monitoring heart rate during exercise to ensure it stays within a safe range for the pregnant woman and the baby.
Question 7 of 9
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?
Correct Answer: C
Rationale: The correct information that the nurse should include is that "Hypnosis can be beneficial if you practiced it during the prenatal period." This statement is true because hypnosis is a tool that can help individuals manage pain and stress through focused attention and suggestion. By practicing hypnosis techniques during the prenatal period, the individual can become more familiar and comfortable with the practice, making it more effective during labor. It is important to establish a routine and practice hypnosis consistently to maximize its benefits during labor.
Question 8 of 9
What is the primary reason for administering Rh immunoglobulin to an Rh-negative mother after delivery?
Correct Answer: A
Rationale: Rh immunoglobulin prevents maternal sensitization to Rh-positive blood.
Question 9 of 9
During a trauma-informed gynecologic examination, what principle emphasizes the importance of involving the patient in decision making about their health care?
Correct Answer: A
Rationale: