ATI RN
ATI Maternal Newborn Exam 4 Questions
Extract:
A client who is 12 hr postpartum.
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: C
Rationale: Tachycardia (160/min) suggests complications like hemorrhage or infection, requiring urgent evaluation. Other findings are normal postpartum.
Extract:
A client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site.
Question 2 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Abruptio placentae can trigger DIC, indicated by petechiae and bleeding, due to widespread clotting and consumption of coagulation factors.
Extract:
A mother immediately following a stillbirth delivery.
Question 3 of 5
A nurse is providing care to a mother immediately following a stillbirth delivery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Offering private time facilitates bonding and closure, addressing emotional needs first. Transfer, medication, or clergy contact are secondary.
Extract:
A client who is pregnant.
Question 4 of 5
A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: A
Rationale: Elevated blood pressure is a key preeclampsia indicator, requiring further evaluation. Increased urine output, joint pain, and discharge are normal or unrelated.
Extract:
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.'
Question 5 of 5
A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature 37.3°C, pulse rate 88 beats per minute, respiratory rate 10 breaths per minute, BP 148/90 mm Hg, absent deep tendon reflexes (DTRs), and no ankle clonus. The client complains, 'I'm so thirsty and warm.' What is the nurse's immediate action?
Correct Answer: C
Rationale: Absent reflexes and low respiratory rate indicate magnesium toxicity, requiring immediate infusion discontinuation to prevent respiratory arrest.