ATI RN
ATI OB Maternal Newborn Nurs 4650 Questions
Extract:
Client who experienced abruptio placentae with petechiae and bleeding around the IV access site
Question 1 of 5
A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?
Correct Answer: D
Rationale: Petechiae and bleeding suggest disseminated intravascular coagulation, a complication of abruptio placentae due to excessive clotting and bleeding.
Extract:
Client in labor with epidural anesthesia
Question 2 of 5
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, requiring prompt intervention.
Extract:
Client at 40 weeks of gestation in labor with fetus small for gestational age (SGA)
Question 3 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 who is postpartum
Question 4 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements as an indication of inhibition of parental attachment?
Correct Answer: D
Rationale: Focusing on a perceived imperfection suggests potential inhibition of parental attachment, requiring further assessment.
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 5 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy terminated by elective abortion at 9 weeks: the birth of twins at 36 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's pregnancy history?
Correct Answer: C
Rationale: GTPAL: 4 pregnancies (G), 0 term births (T), 1 preterm birth (P, twins at 36 weeks), 2 abortions (
A), 2 living children (L) accurately reflects the history.