ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 of 5
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Correct Answer: B
Rationale: Hypertension is the most common risk factor for placental abruption, as it can damage uterine vessels, leading to bleeding and separation of the placenta from the uterine wall.
Extract:
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation.
Question 2 of 5
A nurse is caring for a client who has rubella at the time of delivery and asks why her newborn is being placed in isolation. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: The newborn might be actively shedding the rubella virus, which is highly contagious, necessitating isolation to prevent transmission to other susceptible individuals.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? Baseline BP 140/85, current BP 129/80; Baseline BP 110/70, current BP 145/85; Baseline BP 120/80, current BP 126/85; Baseline BP 110/60, current BP 120/63.
Question 3 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: An increase in BP from baseline by 30 mm Hg systolic or 15 mm Hg diastolic indicates a risk for pregnancy-induced hypertension. A current BP of 145/85 mm Hg from a baseline of 110/70 mm Hg shows a significant elevation, suggesting a risk for complications.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 4 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundal height should be around 22 cm, which corresponds to slightly above the umbilicus, as fundal height typically matches gestational age in centimeters.
Extract:
Client was middle aged and married. She was in labor for 25 hours and forceps were used to assist with the delivery. She was given an epidural for anesthesia that was effective. The labor and delivery nurse reported that the client had a 4th degree laceration, and her pain was currently at a 4 on a 0 to 10 pain scale. Her vital signs were stable, and she was catheterized for 500 mL of light-yellow urine just prior to delivery. Her spouse was at the bedside for delivery.
Question 5 of 5
The nurse is reviewing the client's chart. Click to highlight areas of client history and physical that increase the risk for postpartum hemorrhage.
Correct Answer: B, C, D
Rationale: Forceps-assisted delivery, a 4th degree laceration, and prolonged labor (25 hours) increase the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterine atony.