Questions 69

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ATI Maternal Final Exam Questions

Extract:

A 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: A

Rationale: Abruptio placentae increases the risk of DIC due to significant bleeding and thromboplastin release, causing widespread clotting and bleeding, as evidenced by petechiae and IV site bleeding.

Extract:

A client in labor with the fetus in an RSA position


Question 2 of 5

A nurse is performing Leopold maneuvers on a client who is in labor and determines the fetus is in an RSA position. Which of the following fetal presentations should the nurse document in the client's medical record?

Correct Answer: D

Rationale: RSA (right sacrum anterior) indicates a breech presentation, where the fetus's sacrum is the presenting part, facing the mother's right anterior side.

Extract:

A client who experienced abruptio placentae with petechiae and bleeding around the IV access site


Question 3 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: A

Rationale: Abruptio placentae increases the risk of DIC due to significant bleeding and thromboplastin release, causing widespread clotting and bleeding, as evidenced by petechiae and IV site bleeding.

Extract:

A client who is 1 day postpartum and is taking a sitz bath


Question 4 of 5

A nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. To determine the client's tolerance of the procedure, which of the following assessments should the nurse perform?

Correct Answer: A

Rationale: Monitoring pulse rate assesses tolerance to the sitz bath, as an increased rate may indicate discomfort or complications, guiding adjustments to care.

Extract:

A client who is at 38 weeks of gestation and has severe preeclampsia


Question 5 of 5

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Correct Answer: B

Rationale: Severe preeclampsia often causes headaches due to cerebral vasospasm and increased intracranial pressure, a common symptom requiring monitoring.

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