ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 1 of 5
What clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.
Extract:
A nurse is caring for a client who has a placenta previa.
Question 2 of 5
Which of the following findings should the nurse expect?
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.
Extract:
The client's laboratory results show signs consistent with dehydration and electrolyte imbalances, such as a low potassium level (3.3 mEq/L) and an elevated blood urea nitrogen (BUN) level (28 mg/dL).
Question 3 of 5
Complete the following statement: The client is at risk of developing __ due to the client's __
Correct Answer: A
Rationale: Hyperemesis gravidarum is characterized by severe nausea, vomiting, weight loss, and dehydration during pregnancy. The client's laboratory results, including low potassium (3.3 mEq/L) and elevated BUN (28 mg/dL), indicate dehydration and electrolyte imbalances, which are consistent with this condition.
Extract:
A nurse is caring for a client who is in labor. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exerting upward pressure on the presenting part relieves cord compression, restoring fetal blood flow as the priority action.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 5 of 5
What responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis diagnoses genetic disorders, not just fetal sex, which can be determined less invasively via ultrasound, making this the appropriate response.