ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Correct Answer: D
Rationale: A firm fundus indicates effective uterine contractions, the goal of methylergonovine to control postpartum hemorrhage. Increased lochia suggests bleeding, breast pain is unrelated, and blood pressure increase is a side effect, not an efficacy indicator.
Question 2 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, which crosses suture lines, is common with vacuum-assisted delivery and resolves in days. Cephalohematoma doesn’t cross suture lines, Mongolian spots are flat birthmarks, and telangiectatic nevi are vascular marks, not swollen.
Question 3 of 5
The nurse is informed that a newborn infant with Apgar scores of 1 and 4 will be brought to the neonatal intensive care unit (NICU). The nurse determines that which intervention is the priority?
Correct Answer: B
Rationale: Low Apgar scores (1 and 4) indicate severe distress, requiring immediate resuscitation. Connecting the resuscitation bag to oxygen ensures oxygenation, the priority over monitoring, warming, or IV preparation.
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to abnormal trophoblastic tissue growth. hCG levels are elevated, not declining; no viable fetus means no fetal heart rate; and discharge is typically bloody, not clear.
Question 5 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Covering the cord, positioning, or preparing for birth are secondary to ensuring fetal oxygenation.