ATI RN Maternal Newborn 2023 III

Extract:

A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.

Question 1 of 5

The nurse realizes that the patient is at risk for which of the following conditions?

Correct Answer: D

Rationale: Rapid labor progression (80% effaced, 8 cm in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony.

Extract:

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.

Question 2 of 5

What actions should the nurse take?

A. Instruct the client to avoid urinary elimination until after administration. B. Place the client in a semi-Fowler's position for 1 hr after administration. C. Verify that informed consent is obtained prior to administration. D. Allow the medication to reach room temperature prior to administration.

Correct Answer: C

Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.

Extract:

A 36-hour-old male newborn, born at 39 weeks, breastfeeding 3-4 times/day, voided once, no meconium, yellow sclera.

Question 3 of 5

Which of the following findings should the nurse report to the provider? (Select all that apply)

A. Positive Coombs test B. Glucose level C. Sclera color D. Absence of meconium stool E. Head assessment finding F. Heart rate G. Respiratory rate

Correct Answer: A, C, D

Rationale: Positive Coombs test, yellow sclera, and no meconium suggest hemolysis, jaundice, and possible obstruction, requiring provider attention.

Extract:

A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.

Question 4 of 5

What information should the nurse provide to the client?

A. Instruct the client not to use donor oocytes. B. Inform the client that sperm will be introduced to the uterus during ovulation. C. Instruct the client to avoid freezing embryos for possible use in the future. D. Inform the client about the possible need for reduction of multiple fetuses.

Correct Answer: D

Rationale: Informing the client about the possible need for reduction of multiple fetuses addresses the common IVF risk of multiple pregnancies, requiring potential intervention.

Extract:

A nurse is caring for a client who has a placenta previa.

Question 5 of 5

Which of the following findings should the nurse expect?

A. Uterine hypertonicity B. Painless vaginal bleeding C. Persistent headache D. Fetal distress

Correct Answer: B

Rationale: Painless vaginal bleeding is a classic sign of placenta previa, where the placenta covers the cervix, unlike painful conditions like abruptio placentae.