ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Postpartum client with boggy fundus displaced to the right.
Question 1 of 5
A nurse is caring for a client who is postpartum and finds the fundus boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: A
Rationale: A boggy, displaced fundus suggests bladder distention, and assisting the client to void can relieve this, aiding uterine contraction and reducing hemorrhage risk.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 2 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The client is at highest risk for developing ___ due to ___.
Correct Answer: A
Rationale: Heavy lochia with clots indicates postpartum hemorrhage risk, likely due to uterine atony.
Extract:
Nurse screening for postpartum depression (PPD).
Question 3 of 5
The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.
| Observation | Postpartum Depression | Postpartum Blues |
|---|---|---|
| Major differences occur within the first two weeks postpartum | ||
| Symptoms disappear without medical intervention | ||
| Unable to safely care for self and/or baby | ||
| May require antidepressants | ||
| Occurs within the first 12 months postpartum |
Correct Answer: A,B,C,D,E
Rationale: Postpartum blues resolve within two weeks and require no intervention, while PPD can persist up to 12 months, impair self/baby care, and may need antidepressants.
Extract:
Client at 6 weeks gestation with chronic hypertension and gestational diabetes, reports decreased fetal movement, FHR 120 bpm, absent variability, no accelerations, recurrent late decelerations.
Question 4 of 5
A client arrives at OB triage with complaints of decreased fetal movement for the past 24 hours. The client states, 'I see the high-risk clinic because I have chronic hypertension and gestational diabetes.' The nurse applies the external fetal monitors and identifies a fetal heart rate baseline of 120 bpm, absent variability, no accelerations, and recurrent late decelerations. What fetal heart rate category would the nurse communicate to the provider?
Correct Answer: C
Rationale: Category 3 indicates abnormal FHR patterns with absent variability and recurrent late decelerations, suggesting potential fetal hypoxia.
Extract:
Client with suspected ectopic pregnancy at 8 weeks of gestation.
Question 5 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.