ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse has been assigned to assess a pregnant client for abruptio placenta.
Question 1 of 5
For which classic manifestation of this condition should the nurse assess?
Correct Answer: C
Rationale: The correct answer is C: "Knife-like' abdominal pain with vaginal bleeding." This classic manifestation indicates a possible ectopic pregnancy, a medical emergency. Knife-like abdominal pain suggests internal bleeding, which can be life-threatening. Vaginal bleeding may occur due to the rupture of the fallopian tube. Generalized vasospasm (
A) is not specific to this condition. Painless bright red vaginal bleeding (
B) is more indicative of placenta previa. Increased fetal movement (
D) is not a typical sign of an ectopic pregnancy.
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 2 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation. This finding confirms labor as it indicates the cervix is opening in preparation for childbirth. Brownish vaginal discharge (
A) may not be specific to labor. Amniotic fluid in the vaginal vault (
C) could suggest ruptured membranes but not necessarily active labor. Pain above the umbilicus (
D) is not a typical sign of labor.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.
Question 3 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: B
Rationale: The correct answer is B: Expressions of excitement. During the postpartum phase, the mother may experience a range of emotions, including excitement about the new baby. This is a common and expected response as the mother bonds with her newborn.
Choices A, C, and D are incorrect.
Choice A may be relevant during the prenatal phase, but not specifically during the postpartum phase.
Choice C may be expected, but it is not the most prominent finding during this phase.
Choice D is not a typical finding during the postpartum phase, as most mothers have an increased appetite due to the physical demands of breastfeeding and recovery.
Extract:
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.
Question 4 of 5
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.
Correct Answer: A
Rationale: The correct answer is A: 4, 1, 1, 1. In the GTPAL system, "G" stands for Gravida, which refers to the total number of pregnancies including the current one. "T" stands for Term births (after 37 weeks), "P" stands for Preterm births (between 20-37 weeks), "A" stands for Abortions or miscarriages (before 20 weeks), and "L" stands for Living children. At 18 weeks pregnant, the woman has had 4 pregnancies (including the current one), 1 term birth, 1 preterm birth, and 1 abortion.
Therefore, the correct classification is 4, 1, 1, 1.
Choice B: 3, 2, 1 - Incorrect, as it does not match the given scenario of a woman at 18 weeks pregnant.
Choice C: 4, 2, 2,
Extract:
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Evaluate the firmness of the uterus (fundus) first. This is crucial in postpartum care to assess for uterine atony, a common cause of postpartum hemorrhage. By checking the firmness of the uterus, the nurse can determine if there is proper contraction and prevent excessive bleeding. Obtaining a type and crossmatch (
B) would be important for potential blood transfusion but is not the immediate priority. Administering oxytocin infusion (
C) is a common intervention for uterine atony but should come after assessing the uterus. Initiating oxygen therapy (
D) by nonrebreather mask is not directly related to the initial concern of uterine firmness.