ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 1 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.
Extract:
A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21.
Question 2 of 5
What is the estimated date of delivery in the next year?
Correct Answer: C
Rationale: Using Nagele's rule: June 21 - 3 months = March 21, + 7 days = March 28, providing the estimated delivery date.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 3 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Puncturing the lateral side of the heel is correct, minimizing injury risk while obtaining an adequate blood sample.
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 4 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
Extract:
A nurse is assessing a client who is in labor and has received epidural analgesia.
Question 5 of 5
What findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: Hypotension is a known adverse effect of epidural analgesia due to sympathetic nerve blockade causing vasodilation.