ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 32-year-old female in postpartum unit, cesarean birth due to preeclampsia, given misoprostol, pale, dizzy, cool/clammy skin, no urine since medication.
Question 1 of 5
The nurse is assessing the client 1 hour later. How should the nurse interpret the findings?
| Findings | condition improving | condition worsening | unrelated to the diagnosis |
|---|---|---|---|
| Fundus 2 cm above umbilicus | |||
| BP 90/60, | |||
| HR 110/min | |||
| Heavy bleeding | |||
| Dizziness | |||
| Cloudy urine |
Correct Answer:
Rationale: Fundus 2 cm above, HR 110/min, heavy bleeding, dizziness worsening (hemorrhage); BP 90/60 improving (post-preeclampsia); cloudy urine unrelated.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 2 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.
Extract:
A nurse is caring for a client following a vaginal delivery of a term fetal demise.
Question 3 of 5
What statements should the nurse make?
Correct Answer: C
Rationale: Offering to let the mother bathe and dress the baby provides closure and supports grieving, respecting her personal choice in the process.
Extract:
A nurse is administering a 500 mL bolus of lactated Ringer's for a client who is in labor and has a prescription for spinal anesthesia.
Question 4 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: D
Rationale: A blood pressure of 110/70 mm Hg indicates stable hemodynamics, the primary goal of the IV bolus to prevent hypotension from spinal anesthesia.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.