ATI RN
ATI Maternal Newborn Assessment Questions
Extract:
A client who is at 38 weeks of gestation, experiencing continuous abdominal pain and vaginal bleeding, with a history of cocaine use
Question 1 of 5
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: A
Rationale: Continuous abdominal pain and vaginal bleeding with cocaine use suggest abruptio placentae, where the placenta detaches prematurely.
Extract:
A client who is receiving oxytocin to augment labor with recurrent variable decelerations of the FHR
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Discontinuing oxytocin is the first step to alleviate umbilical cord compression caused by excessive uterine contractions, improving fetal heart rate patterns.
Extract:
A postpartum client who gave birth 8 hr ago and is saturating a perineal pad every hour
Question 3 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a perineal pad every hour indicates potential postpartum hemorrhage, requiring immediate assessment.
Extract:
A client who is pregnant for the fourth time, delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation
Question 4 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: D
Rationale: Gravida 4 accounts for four pregnancies, and Para 3 reflects three viable births (two full-term and the current pregnancy).
Extract:
A client who has a prescription for ibuprofen to treat postpartum cramping
Question 5 of 5
A nurse is caring for a client who has a prescription for ibuprofen to treat postpartum cramping. Which of the following questions should the nurse ask prior to administering the medication? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Asking about OTC medications, gastric problems, and hypertension ensures safe ibuprofen administration by checking for interactions and contraindications.