ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
28-year-old gravida 1 para 0 at 32 weeks of gestation, cramping, low back pain
Question 1 of 5
A nurse on an antepartum unit is caring for a 28-year-old gravida 1 para 0 female client at 32 weeks of gestation. The nurse should identify that __ are findings that require follow-up.
Correct Answer: A
Rationale: Contractions every 5 minutes at 32 weeks suggest preterm labor, requiring immediate follow-up.
Extract:
Client 2 hr post-vaginal delivery, increasing perineal pain and pressure
Question 2 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure. The nurse examines the client's perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse should interpret these findings as which of the following?
Correct Answer: A
Rationale: A hematoma is indicated by localized purplish swelling, likely due to trauma during delivery.
Extract:
Client with preeclampsia, received calcium gluconate for magnesium sulfate toxicity
Question 3 of 5
A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity. Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?
Correct Answer: A
Rationale: A respiratory rate of 12/min indicates reversal of respiratory depression, a key sign of magnesium sulfate toxicity.
Extract:
Client at 28 weeks of gestation, received two doses of terbutaline
Question 4 of 5
A nurse is caring for a client who is at 28 weeks of gestation and has received two doses of terbutaline subcutaneously. Which of the following adverse effects is the priority for the nurse to report to the provider?
Correct Answer: A
Rationale: A heart rate of 132/min indicates significant tachycardia, a serious side effect of terbutaline requiring immediate reporting.
Extract:
28-year-old female in fourth stage of labor, boggy fundus, heavy lochia rubra
Question 5 of 5
A nurse is caring for a 28-year-old female client in the labor and delivery unit who is in the fourth stage of labor. The nurse should first monitor the client's __ followed by the client's __.
Correct Answer: A,B
Rationale: Monitoring fundal tone addresses uterine atony, a cause of hemorrhage, followed by blood pressure to detect hypovolemic shock.