ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 40 weeks of gestation in labor with suspected placenta previa, reports saturated pads
Question 1 of 5
A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two pads with blood. The nurse caring for her suspects placenta previa. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Placenta previa often requires cesarean birth to prevent severe bleeding, as vaginal delivery can exacerbate hemorrhage.
Extract:
Client who is postpartum with a new prescription for Rh(D) immunoglobulin
Question 2 of 5
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin. Which one of the following should be included in the teaching?
Correct Answer: D
Rationale: Rh(
D) immunoglobulin prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.
Extract:
Client who is postpartum
Question 3 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements as an indication of inhibition of parental attachment?
Correct Answer: D
Rationale: Focusing on a perceived imperfection suggests potential inhibition of parental attachment, requiring further assessment.
Extract:
Client receiving magnesium sulfate for preterm labor
Question 4 of 5
A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Correct Answer: A
Rationale: Respiratory depression is a critical sign of magnesium toxicity, necessitating immediate reporting and intervention.
Extract:
Client experiencing rapidly progressing labor
Question 5 of 5
A nurse is caring for a client who presents to a labor and delivery unit experiencing rapidly progressing labor. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Applying perineal pressure controls delivery speed, preventing uncontrolled delivery and fetal injury in rapid labor.