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: Abruptio placentae matches symptoms of pain and bleeding, exacerbated by cocaine's vascular effects, distinguishing it from previa, preterm labor, or molar pregnancy.
Extract:
Client prescribed oral contraception
Question 2 of 5
A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education?
Correct Answer: C
Rationale: Doubling up after missing three pills risks side effects; backup contraception is needed, unlike correct reporting of symptoms or follow-ups.
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 3 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
24-year-old client undergoing breast examination
Question 4 of 5
During a breast examination on a 24-year-old client, the nurse notes the following findings. Which finding is of most concern and should be reported to the provider?
Correct Answer: D
Rationale: An irregular, nontender lump suggests a potential mass, requiring evaluation, unlike normal nodularity, tenderness, or asymmetry.
Extract:
Client at risk for ovarian cancer
Question 5 of 5
Which of the following would increase a client's risk of ovarian cancer?
Correct Answer: B
Rationale: Endometriosis raises ovarian cancer risk via inflammation and hormonal changes, unlike protective multiparity, younger age, or contraceptives.