ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client at 10 weeks of gestation with abdominal pain and moderate vaginal discharge, tentative diagnosis of inevitable abortion
Question 1 of 5
A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal discharge. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Bed rest reduces complications and provides comfort during an inevitable abortion.
Extract:
Client reporting severe abdominal pain in the left lower quadrant with suspected ruptured ectopic pregnancy
Question 2 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.
Extract:
Client with preeclampsia receiving magnesium sulfate IV, respiratory rate 10/min, absent deep-tendon reflexes
Question 3 of 5
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Respiratory depression and absent reflexes indicate magnesium toxicity; discontinuing the infusion prevents further complications.
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 4 of 5
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the following interventions should be included in the newborn's plan of care?
Correct Answer: C
Rationale: SGA newborns are at risk for meconium aspiration syndrome due to intrauterine stress, requiring monitoring of respiratory secretions.
Extract:
Client at 40 weeks of gestation in labor with external fetal monitoring
Question 5 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Late decelerations suggest uteroplacental insufficiency; placing the client in the lateral position first improves blood flow to the fetus, addressing potential hypoxia.