ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
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 1 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. Which of the following assessment findings require follow-up?
Correct Answer: A,B,C,F
Rationale: Elevated temperature, boggy fundus, heavy lochia, and high blood pressure indicate potential infection, hemorrhage, and preeclampsia risk.
Extract:
A newborn client with a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
Question 2 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:
Postpartum client at 4 weeks post-delivery asking about birth control.
Question 3 of 5
A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery. The client is asking about birth control options. What contraception option would you recommend as being the most reliable?
Correct Answer: C
Rationale: Hormonal implants are highly reliable due to continuous contraception with minimal user error.
Extract:
Client at 9 weeks pregnant, had a miscarriage at 7 weeks, an ectopic pregnancy at 6 weeks treated with methotrexate, five-year-old son born vaginally at 39 weeks, three-year-old daughter born vaginally at 35 weeks.
Question 4 of 5
The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment. The client is currently 9 weeks pregnant. She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate. Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks. What is her GTPAL?
Correct Answer: C
Rationale: GTPAL is calculated as G5 (current pregnancy, miscarriage, ectopic, two births), T1 (39-week birth), P1 (35-week birth), A2 (miscarriage, ectopic), L2 (two living children), matching C.
Extract:
32-year-old, Gravida 3 Para 2, 32 weeks gestation, penicillin allergy, 6 lb weight gain, headache, blurred vision, dizziness, 2+ pitting edema, 3+ reflexes, FHT 148/min, BP 179/99, 168/104, 170/101.
Question 5 of 5
A nurse in a provider's office is caring for a 32-year-old female client who is pregnant. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: A,B,C,E
Rationale: Rapid weight gain, visual disturbances, elevated blood pressure, and hyperactive reflexes suggest preeclampsia, requiring provider attention.