ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client receiving opioid epidural analgesia during labor
Question 1 of 5
A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which one of the following findings is the nurse's priority?
Correct Answer: A
Rationale: Hypotension from epidural analgesia can compromise maternal and fetal circulation, making it the priority finding.
Extract:
Client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 2 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation, a complication of abruptio placentae due to excessive clotting and bleeding.
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 3 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's pregnancy history?
Correct Answer: C
Rationale: GTPAL: 4 pregnancies (G), 0 term births (T), 1 preterm birth (P, twins at 36 weeks), 2 abortions (
A), 2 living children (L) accurately reflects the history.
Extract:
Client who just delivered a newborn
Question 4 of 5
A nurse is caring for a client who just delivered a newborn. Following the delivery, the mother asks, 'How will I know to care for the newborn?'
Correct Answer: A
Rationale: Drying and covering the newborn prevents heat loss, a critical immediate care step post-delivery.
Extract:
Client reporting severe abdominal pain in the left lower quadrant with suspected ruptured ectopic pregnancy
Question 5 of 5
A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?
Correct Answer: A
Rationale: Cullen's sign (periumbilical bruising) indicates peritoneal bleeding, consistent with a ruptured ectopic pregnancy.