ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 36 weeks gestation, suspected placenta previa
Question 1 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.
Extract:
client, preeclampsia with severe features
Question 2 of 5
Signs and symptoms of preeclampsia with severe features include (Select all that apply):
Correct Answer: A,B,C,E,F
Rationale: A, B, C, E, F: These are diagnostic criteria for severe preeclampsia, indicating organ dysfunction and severe hypertension. D is incorrect as oliguria, not increased urine output, is associated with preeclampsia.
Extract:
client, vaginal birth 2 hours ago
Question 3 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):
Correct Answer: B,C,D
Rationale: B, C, D: These actions assess uterine involution and bleeding. A is incorrect as massaging a firm fundus is unnecessary, and E is incorrect as terbutaline is inappropriate for a boggy fundus.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 4 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Emptying the bladder corrects uterine displacement, addressing the boggy fundus and excessive lochia.
Extract:
client, 1 day postpartum, cesarean birth
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care?
Correct Answer: B
Rationale: Frequent ambulation promotes venous return, reducing the risk of thrombophlebitis post-cesarean.