ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client at 38 weeks of gestation with continuous abdominal pain, vaginal bleeding, and cocaine use history
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: Cocaine-related vasoconstriction and pain with bleeding suggest abruptio placentae, unlike painless previa, preterm labor at term, or molar pregnancy's distinct features.
Extract:
Postpartum client with breast engorgement
Question 2 of 5
True or False. For breast engorgement, do fresh cabbage leaves placed inside the bra can help alleviate pain associated with breast engorgement?
Correct Answer: A
Rationale: Fresh cabbage leaves' cooling and anti-inflammatory properties relieve engorgement pain, a valid complementary remedy when used correctly.
Extract:
Client in active labor at 0 station
Question 3 of 5
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Correct Answer: D
Rationale: 0 station means the presenting part is at the ischial spines, indicating labor progress, not position, outlet passage, or fontanel palpability.
Extract:
Client at 37 weeks of gestation with placenta previa
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: C
Rationale: Internal exams in placenta previa risk disrupting the placenta, causing severe bleeding, a greater concern than infection, labor, or membrane rupture.
Extract:
Postpartum client with displaced fundus
Question 5 of 5
A postpartum client's fundus is firm, 3 cm above the umbilicus, and displaced to the right. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: A full bladder displaces the fundus; voiding corrects position, unlike massaging a firm fundus, documenting abnormality, or ambulating.