ATI RN
PN Maternal Newborn Online Practice 2023 A Questions
Question 1 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 2 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 3 of 5
The nurse is assessing a client at 20 weeks' gestation who reports leg cramps. What is the most likely cause?
Correct Answer: D
Rationale: Compression of pelvic nerves from the growing uterus can cause leg cramps during 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
What does the nurse say about labor beginning to the laboring person who has studied Lamaze?
Correct Answer: B
Rationale: Lamaze emphasizes comfort and partner support, aligning with creating a calm environment for labor.