ATI RN
ATI Maternity Nur230 Questions
Extract:
Client admitted with suspected deep-vein thrombosis (DVT)
Question 1 of 5
A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse anticipate the client will exhibit?
Correct Answer: D
Rationale: Calf tenderness on massage is a classic sign of DVT, indicating inflammation and clot presence.
Extract:
Infant following a motor vehicle accident
Question 2 of 5
A nurse is evaluating an infant following a motor vehicle accident. Which signs should the nurse monitor to detect increased intracranial pressure?
Correct Answer: C
Rationale: Increased sleeping can indicate increased intracranial pressure in infants, suggesting neurological compromise.
Extract:
Client at 33 weeks of gestation with placenta previa
Question 3 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. What is the priority nursing action?
Correct Answer: A
Rationale: Monitoring vaginal bleeding is critical in placenta previa due to the risk of severe hemorrhage.
Extract:
Newborn born at 32 weeks of gestation with birth weight of 1,100 g
Question 4 of 5
A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Preterm newborns at 32 weeks often have long nails, weak grasp reflex due to immature nervous systems, and lanugo due to incomplete shedding.
Extract:
Adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation
Question 5 of 5
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: A PCA pump allows for effective, individualized pain control post-scoliosis surgery, which is critical for patient comfort and recovery.