ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client 2 hr postpartum, received spinal anesthesia for cesarean birth.
Question 1 of 5
A nurse is assessing a client who is 2 hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: A respiratory rate of 10/min suggests possible respiratory depression from spinal anesthesia, requiring immediate intervention.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 2 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.
Correct Answer: A
Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 4 of 5
A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?
Correct Answer: B
Rationale: Neonatal abstinence syndrome is indicated by symptoms such as high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea, which are consistent with drug withdrawal in newborns exposed to opiates in utero.
Extract:
28-year-old, postpartum day 2, breastfeeding every 3-4 hours, nipple discomfort, no nipple trauma, breasts soft, newborn voided twice, three meconium stools.
Question 5 of 5
A nurse is caring for a 28-year-old postpartum female client in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,F
Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in indicate understanding of breastfeeding teaching.