Questions 41

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ATI RN Custom 2023 Fall Exam 3 Questions

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 1 of 5

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.

Correct Answer: A

Rationale: GTPAL: Gravida 4 (4 pregnancies), Term 1 (38 weeks), Preterm 1 (26 weeks), Abortions 1 (miscarriage), Living 1 (one living child). Thus, 4, 1, 1, 1 is correct.

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 2 of 5

Which of the following findings should the nurse expect during this phase?

Correct Answer: B

Rationale: Expressions of excitement are typical in the taking-in phase, where the mother focuses on her own needs and birth experience.

Extract:

What should the nurse expect for a full-term newborn's weight during the first few days of life?


Question 3 of 5

What should the nurse expect for a full-term newborn's weight during the first few days of life?

Correct Answer: C

Rationale: Both formula-fed and breastfed newborns typically lose 5% to 10% of birth weight in the first few days due to fluid shifts, making C correct.

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 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Evaluating the fundus first checks for uterine atony, a common cause of postpartum hemorrhage leading to hypotension. Assessment precedes intervention.

Extract:

A nurse has been assigned to assess a pregnant client for abruptio placenta.


Question 5 of 5

For which classic manifestation of this condition should the nurse assess?

Correct Answer: C

Rationale: Knife-like' abdominal pain with vaginal bleeding is a classic sign of abruptio placenta due to placental separation. Painless bleeding suggests placenta previa.

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