ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in labor at 39 weeks, maternal BP 128/88, FHR baseline 115 bpm, maternal heart rate 128 bpm, maternal respiratory rate 18/min.
Question 1 of 5
A nurse is caring for a client in labor at 39 weeks of gestation. Which of the following assessment findings requires follow-up?
Correct Answer: C
Rationale: A maternal heart rate of 128 bpm indicates tachycardia, which may suggest distress, infection, or dehydration, requiring follow-up.
Extract:
Nurse hears fetal heart rate dropping, interprets monitor strip.
Question 2 of 5
A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?
Correct Answer: B
Rationale: A sudden drop in fetal heart rate suggests variable decelerations, typically caused by umbilical cord compression.
Extract:
Primigravida asking about placenta function.
Question 3 of 5
A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes. The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Administering antipyretics for maternal fever is essential to reduce risks of fetal tachycardia and distress.
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 4 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:
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.