ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
36-year-old female, vaginal bleeding, cramping, LMP 5 weeks ago, severe pain 8/10, moderate bleeding with clots, no trauma, positive hCG, intrauterine pregnancy via ultrasound, mild abdominal tenderness, closed cervical os.
Question 1 of 5
A nurse is caring for a 36-year-old female client in the emergency unit. Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? The nurse should recognize that the client is most likely experiencing a ___ and is at risk for developing ___ if not treated quickly.
Correct Answer: A
Rationale: The closed cervical os, bleeding, and cramping suggest a threatened miscarriage, with risk of hemorrhagic shock if bleeding continues untreated.
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 2 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.
Extract:
Newborn immediately following a scheduled cesarean delivery.
Question 3 of 5
A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse's priority?
Correct Answer: B
Rationale: Respiratory distress is the priority due to the increased risk of transient tachypnea or other respiratory issues in cesarean deliveries, requiring immediate assessment.
Extract:
Client in labor, B Rh-negative, uterine tenderness, variable FHR decelerations, BP 130/82, temperature 37.7°C.
Question 4 of 5
A nurse is caring for a female client in labor in the labor and delivery unit. Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.
Correct Answer: A
Rationale: Variable decelerations and uterine tenderness suggest umbilical cord compression, requiring position changes and continuous fetal monitoring.
Extract:
Client 5 hours postpartum after vaginal birth, pregnancy complicated by polyhydramnios.
Question 5 of 5
A nurse is caring for a client whose pregnancy was complicated by polyhydramnios and is now 5 hours postpartum following a vaginal birth. The nurse should recognize that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: Polyhydramnios can overdistend the uterus, increasing the risk of uterine atony and postpartum hemorrhage.