ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client at 36 weeks with SROM after epidural, reports shortness of breath, then goes into cardiorespiratory failure.
Question 1 of 5
A nurse in Labor and Delivery is caring for a client who just experienced SROM (spontaneous rupture of membranes) after her epidural. The client immediately states she is short of breath. The nurse lays the patient back and places oxygen on her when the client goes into complete cardiorespiratory failure. The nurse should recognize that this client is experiencing which of the following obstetrical emergencies?
Correct Answer: A
Rationale: Anaphylactoid syndrome of pregnancy (amniotic fluid embolism) causes sudden cardiorespiratory failure post-SROM, triggered by amniotic fluid entering the maternal bloodstream.
Extract:
Postpartum client with boggy fundus displaced to the right.
Question 2 of 5
A nurse is caring for a client who is postpartum and finds the fundus boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: A
Rationale: A boggy, displaced fundus suggests bladder distention, and assisting the client to void can relieve this, aiding uterine contraction and reducing hemorrhage risk.
Extract:
A newborn with signs of diaphoresis, jitteriness, and lethargy.
Question 3 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaphoresis, jitteriness, and lethargy are classic signs of hypoglycemia in newborns, making obtaining a blood glucose level by heel stick the priority action.
Extract:
Nurse hears fetal heart rate dropping, observes late decelerations.
Question 4 of 5
A nurse is walking by a client's room and can hear the fetal heart{OR} observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, suggesting compromised blood flow to the fetus.
Extract:
Client suspecting pregnancy.
Question 5 of 5
A client suspects she is pregnant. The nurse is discussing the probable signs of pregnancy with the client. Which of the following findings should the nurse include?
Correct Answer: D
Rationale: A positive urine pregnancy test is a probable sign, detecting hCG, a hormone indicative of pregnancy.