ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client at 36 weeks of gestation with preeclampsia, reporting continuous severe abdominal pain and vaginal bleeding.
Question 1 of 5
A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia. Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?
Correct Answer: B
Rationale: Abruptio placentae is characterized by severe abdominal pain and vaginal bleeding due to premature placental separation, a medical emergency in preeclampsia.
Extract:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 2 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Client in labor at 39 weeks with oxytocin induction, uterine contractions every 2 minutes lasting 90 seconds, strong, FHR baseline 150/min with uniform decelerations at contraction peak.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds each, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction, nadir after the peak of the contraction, and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discontinuing oxytocin is necessary due to tachysystole and fetal heart rate decelerations, reducing uterine hyperstimulation and improving fetal oxygenation.
Extract:
Client at 32 weeks gestation, betamethasone 12 mg IM.
Question 4 of 5
A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection?
Correct Answer: B
Rationale: 12 mg / 6 mg/ml = 2 ml.
Extract:
Client concerned about blood transfusion post-delivery.
Question 5 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.