ATI RN
ATI Maternal Newborn III Questions
Extract:
A client suspected of having a ruptured ectopic pregnancy
Question 1 of 5
A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?
Correct Answer: A
Rationale: A ruptured ectopic pregnancy causes internal bleeding, leading to hypovolemic shock, making hemorrhage the priority assessment. Edema, infection, or jaundice may occur later but are less urgent than life-threatening bleeding.
Extract:
A woman suspecting pregnancy with probable signs
Question 2 of 5
A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which findings would the nurse most likely assess? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Probable signs include softening of the cervix (Goodell's), positive pregnancy test (hCG), amenorrhea, and ballottement (fetal rebound). Ultrasound and fetal heartbeat are positive signs, confirming pregnancy definitively.
Extract:
A woman in her first trimester
Question 3 of 5
When assessing a woman in her first trimester, which emotional response would the nurse most likely expect to find?
Correct Answer: B
Rationale: Emotional lability, with mood swings, is common in the first trimester due to hormonal shifts and stress. Ambivalence may occur if unplanned, introversion is a trait, and acceptance develops later.
Extract:
A woman with systemic lupus erythematosus planning pregnancy
Question 4 of 5
A woman with a history of systemic lupus erythematosus comes to the clinic for evaluation. The woman tells the nurse that she and her partner would like to have a baby but that they are afraid her lupus will be a problem. Which response would be most appropriate for the nurse to make?
Correct Answer: A
Rationale: Stable lupus for 6 months before pregnancy reduces risks like flares or miscarriage. Discouraging pregnancy is insensitive, claiming no effect is false, and adding many medications is inaccurate without specifics.
Extract:
A client who has had a spontaneous abortion and is crying
Question 5 of 5
Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: Saying 'I'm sorry you lost your baby' acknowledges the client's emotional loss empathetically. Asking why she's crying invalidates her feelings, focusing on physical pain ignores emotional needs, and claiming the baby wasn't formed is inaccurate and insensitive, as miscarriage involves loss at any stage.