ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client concerned about blood transfusion post-delivery.
Question 1 of 5
A client is concerned about needing a blood transfusion after delivery due to the blood loss in delivery. The nurse explains that blood volume increases during pregnancy. Which of the following is the correct percentage of increased blood volume during pregnancy that the nurse should explain to the client?
Correct Answer: C
Rationale: Blood volume increases by 40% to 50% during pregnancy to support fetal and placental demands and prepare for delivery blood loss.
Extract:
Client in preterm labor at 33 weeks, ordered betamethasone 12 mg IM every 24 hours.
Question 2 of 5
A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation. The provider has ordered betamethasone 12 mg IM every 24 hours. Before administering the medication, what should the nurse include in client teaching?
Correct Answer: A
Rationale: Betamethasone enhances fetal lung maturity by increasing surfactant production.
Extract:
Client with a new diagnosis of ectopic pregnancy not requiring surgery.
Question 3 of 5
A nurse is caring for a client who was just diagnosed with an ectopic pregnancy and does not require surgery. Which of the following medications can the nurse expect to administer?
Correct Answer: C
Rationale: Methotrexate stops the growth of ectopic pregnancy cells, allowing the body to reabsorb the tissue, and is standard for non-surgical treatment.
Extract:
Postpartum client with chronic hypertension.
Question 4 of 5
A nurse is receiving a report on a new postpartum admission. Her medical history includes chronic hypertension. The client is asking about postpartum orders. Which of the following would be contraindicated based on the client's medical history?
Correct Answer: A
Rationale: Methylergonovine is contraindicated in hypertension due to its potential to cause severe hypertension.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 5 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.
Correct Answer: A
Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.