Questions 41

ATI RN

ATI RN Test Bank

ATI RN Custom 2023 Fall Exam 3 Questions

Extract:

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.


Question 1 of 5

The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?

Correct Answer: A

Rationale: An internal examination could disturb the placenta and cause profound bleeding, which is a life-threatening condition for both the mother and the fetus. Infection, preterm labor, and membrane rupture are secondary concerns.

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.


Question 2 of 5

Which of the following findings support this diagnosis?

Correct Answer: B

Rationale: Painless red vaginal bleeding is a hallmark of placenta previa due to the placenta's low position. Painful bleeding suggests abruptio placenta.

Extract:

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.


Question 3 of 5

The nurse understands that the laceration extends to which area?

Correct Answer: B

Rationale: A fourth-degree laceration extends through the perineal muscles, anal sphincter, and anterior rectal wall, unlike lesser degrees.

Extract:

A nurse is teaching a client about positive signs of pregnancy.


Question 4 of 5

Which of the following findings should the nurse include?

Correct Answer: A

Rationale: Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus. Breast tenderness and fatigue are presumptive signs, and a positive urine test is a probable sign.

Extract:

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.


Question 5 of 5

The nurse should verify which of the following prior to administration?

Correct Answer: D

Rationale: Rho (
D) immunoglobulin is given when the client is Rh negative and the newborn is Rh positive to prevent sensitization in future pregnancies.

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