ATI RN
Custom ATI Maternity Final 2023 Questions
Extract:
A client who experienced a vaginal birth 2 hr ago.
Question 1 of 5
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: C
Rationale: The correct answer is C: Precipitous birth. Precipitous birth, which is a rapid labor and delivery lasting less than 3 hours, can increase the risk of postpartum hemorrhage due to insufficient time for the uterus to contract effectively. This may lead to retained placental fragments or uterine atony, causing excessive bleeding. Small for gestational age newborn (
A) does not directly increase the risk of postpartum hemorrhage. Gestational hypertension (
B) is a risk factor for pre-eclampsia but not specifically for postpartum hemorrhage. Two-vessel umbilical cord (
D) is a fetal anomaly and is not directly related to postpartum hemorrhage.
Extract:
A client who is postpartum.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. Immersing the newborn's abdomen in water before the cord is dry can lead to infection. It is crucial to keep the cord dry until it naturally falls off.
Choice A is incorrect because baby oil can trap moisture, leading to infection.
Choice B is incorrect as covering the cord can also trap moisture.
Choice C is incorrect as the stump may fall off earlier or later.
Extract:
A client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain. The nurse should expect pelvic pain in a patient with an ectopic pregnancy. This is because as the ectopic pregnancy grows outside the uterus, it can cause pain in the pelvic area. Copious vaginal bleeding (choice
A) is more commonly associated with miscarriage or placental abruption. Severe nausea and vomiting (choice
C) can occur in normal pregnancy or conditions like hyperemesis gravidarum, but it is not specific to ectopic pregnancy. Uterine enlargement greater than expected for gestational age (choice
D) would typically be seen in intrauterine pregnancies, not ectopic pregnancies.
Extract:
A client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache.
Question 4 of 5
Which of the following factors is a contributing cause of difficult, prolonged labor?
Correct Answer: D
Rationale: The correct answer is D: Fetal position is persistent occiput posterior. This position, where the back of the baby's head is towards the mother's spine, can lead to difficult and prolonged labor due to the baby facing the wrong way, causing more pressure on the mother's back and slowing down the descent through the birth canal. A persistent occiput posterior position can result in increased pain, labor duration, and the need for interventions like forceps or vacuum extraction.
A: Fetal lie being longitudinal is a normal position.
B: Fetal attitude in general flexion is also a normal position.
C: Maternal pelvis being gynecoid is the most favorable for labor.
E, F, G:
Choices are not provided.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa.
Question 5 of 5
For which of the following findings should the nurse monitor the client?
Correct Answer: C
Rationale: The correct answer is C. A large amount of bright red vaginal bleeding without pain. This finding is indicative of placental abruption, a serious complication during pregnancy. Bright red bleeding without pain suggests a separation of the placenta from the uterine wall, which can lead to fetal distress and maternal hemorrhage. Monitoring the client for this symptom is crucial for prompt intervention.
Choice A, severe abdominal pain with increasing fundal height, may suggest preterm labor or placental previa, but it does not specifically indicate the urgency of placental abruption as in choice C.
Choice B, abdominal pain with minimal red vaginal bleeding, could be a sign of threatened miscarriage, but it is not as concerning as the large amount of bright red bleeding without pain in placental abruption.
Choice D, intermittent abdominal pain following passage of bloody mucus, may indicate early labor or mucus plug expulsion, but it does not point to the immediate risk of placental abruption as in choice C