ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client in her first trimester of pregnancy
Question 1 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Ambivalent feelings are normal in early pregnancy due to hormonal and life changes; this response validates the client's emotions.
Extract:
Client at 36 weeks of gestation with suspected placenta previa
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?
Correct Answer: D
Rationale: Painless red vaginal bleeding is a classic sign of placenta previa, caused by placental tearing as the cervix dilates.
Extract:
Client who is postpartum
Question 3 of 5
A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Mature breast milk typically transitions from colostrum around 3 to 5 days postpartum, supporting newborn nutrition.
Extract:
Client undergoing an amniotomy
Question 4 of 5
A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects complications like cord prolapse, ensuring fetal well-being.
Extract:
Client receiving magnesium sulfate for suspected placenta previa
Question 5 of 5
A nurse is assessing a client who is receiving magnesium sulfate to treat a suspected placenta previa. Which of the following findings must the nurse report to the provider?
Correct Answer: D
Rationale: Urinary output <30 mL/hr indicates potential renal insufficiency, a serious magnesium sulfate side effect requiring immediate reporting.