ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 1 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Evaluating uterine firmness identifies atony, the likely cause of postpartum hemorrhage causing hypotension, guiding immediate intervention.
Extract:
A group of clients on an intrapartum unit.
Question 2 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: Epigastric pain and headache in preeclampsia indicate severe disease or impending eclampsia, requiring immediate reporting. Other findings are less urgent.
Extract:
A client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min.
Question 3 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads with blood in the past 30 min. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: Cesarean birth is appropriate for placenta previa with heavy bleeding to prevent fetal hypoxia and hemorrhage. Pushing and examination worsen bleeding; magnesium is unrelated.
Extract:
A client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth.
Question 4 of 5
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Empathetic reflection validates the client's feelings, fostering emotional support. Other responses dismiss her emotions, provide inaccurate information, or make assumptions.
Extract:
An infant who is receiving phototherapy.
Question 5 of 5
A nurse is caring for an infant who is receiving phototherapy. Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Lotion interferes with phototherapy efficacy and risks burns, requiring intervention. Increased stools, rash, and eye masks are expected or standard.