ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client 5 hours postpartum after vaginal birth, pregnancy complicated by polyhydramnios.
Question 1 of 5
A nurse is caring for a client whose pregnancy was complicated by polyhydramnios and is now 5 hours postpartum following a vaginal birth. The nurse should recognize that this client is at risk for which of the following postpartum complications?
Correct Answer: A
Rationale: Polyhydramnios can overdistend the uterus, increasing the risk of uterine atony and postpartum hemorrhage.
Extract:
Postpartum client with boggy fundus displaced to the right.
Question 2 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:
Client with HELLP syndrome.
Question 3 of 5
A nurse is caring for a patient with HELLP syndrome. Which of the following findings are consistent with a diagnosis of HELLP syndrome?
Correct Answer: D
Rationale: Elevated liver enzymes are a hallmark of HELLP syndrome, reflecting liver dysfunction.
Extract:
A client with irregular uterine contractions that are mild to palpation, FHR 130/min with moderate variability and accelerations, ambulating, took a warm shower, resting in bed, rates pain of contractions at 3/10.
Question 4 of 5
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a 0 to 10 scale. What potential condition does the nurse suspect?
Correct Answer: B
Rationale: Dysfunctional labor is characterized by irregular uterine contractions that are mild, as described, and can be managed with ambulation, showers, and rest, fitting the client's symptoms.
Extract:
25-year-old, Gravida 1 Para 1, breastfeeding, newborn with 5% weight loss, full warm breasts, correct breastfeeding techniques, feeding 8-12 times/day.
Question 5 of 5
A nurse is caring for a 25-year-old postpartum female client who had a spontaneous vaginal birth at 39 weeks of gestation in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,E,F
Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in show understanding of breastfeeding teaching.