ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation.
Question 1 of 5
A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?
Correct Answer: C
Rationale: Ambulating twice daily is inappropriate for severe preeclampsia, as it may increase the risk of bleeding, seizures, or placental abruption; bed rest is typically recommended.
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 2 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.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 3 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action for late decelerations, as it reduces uterine pressure on the inferior vena cava and aorta, improving maternal and fetal circulation and oxygenation.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
Question 4 of 5
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine stimulates uterine contractions to reduce bleeding from the placental site, preventing postpartum hemorrhage.
Extract:
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor.
Question 5 of 5
A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Positioning the client on her side is the priority action for late decelerations, as it reduces uterine pressure on the inferior vena cava and aorta, improving maternal and fetal circulation and oxygenation.