ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Question 1 of 5
For each body system below, specify the potential manifestations that the client may experience. Match each body system with the potential manifestation.
Correct Answer: D
Rationale: General: Body aches (
D) - reflects systemic discomfort. Head, ears, eyes, nose, and throat: Headache (
C) - common neurological symptom. Gastrointestinal: Nausea (
A) - due to digestive disturbances. Breast: Pain (
B) - related to tissue sensitivity or engorgement.
Extract:
Client gave birth 4 hr ago and is experiencing excessive vaginal bleeding.
Question 2 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus promotes uterine contraction, which is the first-line intervention to control postpartum hemorrhage caused by uterine atony.
Extract:
Four postpartum clients: 1 day ago needs Rh(D) immune globulin, 3 days ago reports breast fullness, 12 hours ago reports increased urinary output, 8 hours ago saturating a perineal pad every hour.
Question 3 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a perineal pad every hour 8 hours postpartum indicates heavy vaginal bleeding, potentially signifying postpartum hemorrhage, a life-threatening condition requiring immediate evaluation and intervention.
Extract:
Client in active labor with early decelerations of the FHR on the fetal monitor tracing.
Question 4 of 5
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the FHR on the fetal monitor tracing. The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Correct Answer: D
Rationale: Early decelerations result from fetal head compression, stimulating the vagus nerve and leading to transient heart rate decreases. This is common during contractions.
Extract:
Client reporting severe abdominal pain.
Question 5 of 5
A nurse in the labor and delivery triage unit reviews the electronic medical record (EMR) of a client reporting severe abdominal pain. Which of the following findings is most consistent with abruptio placenta?
Correct Answer: B
Rationale: Rigid uterine tone with dark vaginal bleeding is a hallmark of abruptio placenta. The rigidity arises from blood pooling behind the placenta, causing uterine muscle contraction. Dark vaginal bleeding occurs as the blood is often concealed and clotted before expulsion.