ATI RN
ATI Maternal Newborn III Questions
Extract:
A pregnant woman with oligohydramnios
Question 1 of 5
Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which condition?
Correct Answer: B
Rationale: Oligohydramnios (low amniotic fluid) is linked to fetal anencephaly, where absent brain development reduces fetal urine, a fluid source. Maternal diabetes causes polyhydramnios, abruption affects bleeding, and neural tube defects don't directly reduce fluid.
Extract:
A client with an NG tube set to low intermittent suction
Question 2 of 5
A nurse is caring for a client who has an NG tube set to low intermittent suction. The nurse irrigates the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?
Correct Answer: A
Rationale: NG drainage = canister fluid (475 mL) minus irrigation (2 x 30 mL = 60 mL) = 415 mL. Recording irrigation fluid as drainage would inflate the output inaccurately.
Extract:
A client with hyperemesis gravidarum admitted after unsuccessful home care
Question 3 of 5
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?
Correct Answer: C
Rationale: Hyperemesis gravidarum causes severe vomiting, risking dehydration and malnutrition.
Total parenteral nutrition delivers complete nutrients intravenously, addressing these risks when oral intake fails. Clear liquids or nothing by mouth worsen malnutrition, and diethylstilbestrol, a discontinued drug, is irrelevant.
Extract:
A client suspected of having a ruptured ectopic pregnancy
Question 4 of 5
A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?
Correct Answer: A
Rationale: A ruptured ectopic pregnancy causes internal bleeding, leading to hypovolemic shock, making hemorrhage the priority assessment. Edema, infection, or jaundice may occur later but are less urgent than life-threatening bleeding.
Extract:
A pregnant client
Question 5 of 5
A nurse suspects that a pregnant client may be experiencing placenta abruption based on which finding? Select all that apply.
Correct Answer: C,D,E
Rationale: Placental abruption involves sudden separation of the placenta, causing severe pain, a rigid uterus from bleeding, dark red vaginal bleeding due to clotted blood, and absent fetal heart tones if the fetus is compromised. Absence of pain and insidious onset are not typical, as abruption is acute and painful.