ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
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 (DI
C), a complication of abruptio placentae due to clotting factor consumption. Preeclampsia involves hypertension, puerperal infection involves fever, and anaphylactoid syndrome involves sudden collapse, not matching these signs.
Question 2 of 5
A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Inserting a gloved hand to relieve cord pressure prevents fetal hypoxia, the immediate priority in cord prolapse. Covering the cord, positioning, or preparing for birth are secondary to ensuring fetal oxygenation.
Question 3 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 97.6°F. Which of the following is the priority nursing action?
Correct Answer: B
Rationale: Initiating IV access is critical to manage hypovolemia from bleeding, indicated by low BP and high heart rate. This allows fluid resuscitation, prioritizing stabilization over consent, catheter insertion, or surgical prep.
Question 4 of 5
An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.
Correct Answer: C,D
Rationale: At 35 weeks, the baby is preterm (before 37 weeks). An 8-pound 15-ounce weight is average for gestational age (AG
A), within the 10th-90th percentiles. The baby is not small for gestational age, term, or post-term.
Question 5 of 5
After assisting with a vaginal delivery, what would the nurse do to prevent heat loss via conduction in the newborn?
Correct Answer: D
Rationale: Placing the newborn on a warm crib pad prevents conductive heat loss by ensuring a warm contact surface. Drying prevents evaporative loss, closing doors reduces convective loss, and wrapping reduces radiant loss.