ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates suppositories due to risk of further trauma. Distention, candidiasis, and afterpains do not preclude suppository use.
Extract:
A client who is in labor and just received epidural anesthesia with blood pressure 90/50 mm Hg
Question 2 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side relieves vena cava compression, improving blood flow and correcting hypotension. Amnio-infusion, naloxone, and monitoring alone do not address the immediate issue.
Extract:
A client who has hyperemesis gravidarum
Question 3 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: D
Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.
Extract:
A 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis
Question 4 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and carries risks, requiring education. Age limits, immediate scheduling, or chorionic sampling are incorrect.
Extract:
A client at risk for postpartum hemorrhage
Question 5 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, leading to hemorrhage. Hypertension, oligohydramnios, and meconium do not directly cause postpartum bleeding.