ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Nurse hears fetal heart rate dropping, observes late decelerations.
Question 1 of 5
A nurse is walking by a client's room and can hear the fetal heart{OR} observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency, suggesting compromised blood flow to the fetus.
Extract:
Client 4 hours postpartum following a vaginal delivery, with brisk patellar deep tendon reflexes, moderate lochia, fundus at umbilicus, approximated episiotomy edges.
Question 2 of 5
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: Brisk patellar deep tendon reflexes may indicate central nervous system irritability, potentially linked to preeclampsia, requiring priority assessment.
Extract:
Client at 36 weeks with SROM after epidural, reports shortness of breath, then goes into cardiorespiratory failure.
Question 3 of 5
A nurse in Labor and Delivery is caring for a client who just experienced SROM (spontaneous rupture of membranes) after her epidural. The client immediately states she is short of breath. The nurse lays the patient back and places oxygen on her when the client goes into complete cardiorespiratory failure. The nurse should recognize that this client is experiencing which of the following obstetrical emergencies?
Correct Answer: A
Rationale: Anaphylactoid syndrome of pregnancy (amniotic fluid embolism) causes sudden cardiorespiratory failure post-SROM, triggered by amniotic fluid entering the maternal bloodstream.
Extract:
Client with HELLP syndrome.
Question 4 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:
Client with suspected ectopic pregnancy at 8 weeks of gestation.
Question 5 of 5
A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?
Correct Answer: D
Rationale: Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy due to the implantation of the fertilized egg outside the uterus, typically in a fallopian tube.