ATI RN
ATI Maternity Nur230 Questions
Extract:
Client who gave birth 2 hr ago with blood pressure 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. What is the first action the nurse should take?
Correct Answer: A
Rationale: A boggy uterus may indicate uterine atony, a common cause of postpartum hemorrhage and hypotension, requiring immediate assessment.
Extract:
Child with suspected acute rheumatic fever
Question 2 of 5
A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask?
Correct Answer: A
Rationale: A recent sore throat may indicate a streptococcal infection, a common precursor to acute rheumatic fever.
Extract:
6-month-old infant who underwent a cardiac catheterization for pulmonary stenosis
Question 3 of 5
A nurse is providing care for a 6-month-old infant who underwent a cardiac catheterization. The child was diagnosed with pulmonary stenosis early in infancy and was admitted today for a balloon angioplasty procedure. Which of the following should the nurse plan to include in the discharge teaching?
Correct Answer: C
Rationale: Administering acetaminophen or ibuprofen for pain management is appropriate post-catheterization to alleviate discomfort from the procedure site.
Extract:
Child who has Kawasaki disease
Question 4 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: D
Rationale: Kawasaki disease primarily affects the cardiovascular system, causing vasculitis and potential heart complications, requiring close monitoring.
Extract:
Adolescent client at 38 weeks with preeclampsia
Question 5 of 5
A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?
Correct Answer: A
Rationale: Deep tendon reflexes of +1 (hyporeflexia) are inconsistent with preeclampsia, which typically involves hyperreflexia.