ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is postpartum and has a perineal laceration.
Question 1 of 5
What findings place the client at risk for delayed wound healing?
Correct Answer: A
Rationale: Changing the perineal pad only once daily increases infection risk, delaying healing, unlike frequent changes that maintain cleanliness.
Extract:
A 28-year-old female at 15 weeks gestation reports frequent nausea, vomiting, fatigue, weight loss, dizziness, no abdominal pain.
Question 2 of 5
Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? (Select all that apply)
Correct Answer: A, B, C, D, E
Rationale: Sodium 132 mEq/L, urine specific gravity 1.035, potassium 3.3 mEq/L, HR 106/min, and weight loss indicate hyperemesis gravidarum complications (electrolyte imbalance, dehydration), requiring monitoring.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 3 of 5
Which of the following information should the nurse include?
Correct Answer: A
Rationale: Yellow exudate forming within 24 hours is a normal healing sign with the Plastibell technique, not to be confused with infection.
Extract:
A nurse is caring for a client in labor who is experiencing abruptio placentae.
Question 4 of 5
What findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common symptom of abruptio placentae due to the premature separation of the placenta causing uterine irritability.
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 5 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.