ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
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 1 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:
Newborn 1 hour post-birth via emergency cesarean, Apgar 5 at 1 min, 8 at 5 min, positive pressure ventilation, acrocyanosis, mild grunting, nasal flaring, intermittent retractions, restless, hemoglobin 9 g/dL, hematocrit 35%, glucose 38 mg/dL.
Question 2 of 5
A nurse is caring for a newborn 1 hour following birth in the emergency unit. Select the 5 findings the nurse should report to the provider.
Correct Answer: A,B,D,F,G
Rationale: Respiratory distress, low hemoglobin, low glucose, elevated heart rate, and low hematocrit indicate potential complications requiring provider attention.
Extract:
Client concerned about blood transfusion post-delivery.
Question 3 of 5
A client is concerned about needing a blood transfusion after delivery due to the blood loss in delivery. The nurse explains that blood volume increases during pregnancy. Which of the following is the correct percentage of increased blood volume during pregnancy that the nurse should explain to the client?
Correct Answer: C
Rationale: Blood volume increases by 40% to 50% during pregnancy to support fetal and placental demands and prepare for delivery blood loss.
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:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 5 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.