ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client 3 hr post vaginal delivery
Question 1 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings places the client at risk for postpartum hemorrhage?
Correct Answer: A,C
Rationale: Labor induction with oxytocin and vacuum-assisted delivery increase the risk of postpartum hemorrhage due to potential uterine atony and trauma to the birth canal.
Extract:
Client with preeclampsia during a prenatal visit
Question 2 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Urine protein of 3+ indicates severe proteinuria, which is a sign of preeclampsia and can lead to kidney damage. The nurse should report this finding to the provider as it may require medication or delivery intervention.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 3 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Client with pudendal nerve block
Question 4 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 5 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.