Questions 41

ATI RN

ATI RN Test Bank

ATI RN Custom 2023 Fall Exam 3 Questions

Extract:

A nurse is assessing a postpartum woman.


Question 1 of 5

Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Correct Answer: A

Rationale: Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase, as explained in Q8.

Extract:

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?


Question 2 of 5

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?

Correct Answer: B

Rationale: Erythromycin ophthalmic ointment is used to prevent neonatal conjunctivitis from gonorrhea or chlamydia. Vitamin K prevents bleeding, not eye issues.

Extract:

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.


Question 3 of 5

The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Correct Answer: A

Rationale: Variable decelerations are irregular and suggest umbilical cord compression, unlike early decelerations (head compression) or late decelerations (uteroplacental insufficiency).

Extract:

The client is being rushed into the labor and delivery unit.


Question 4 of 5

At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)

Correct Answer: B

Rationale: Immediately prior to birth, the fetus is typically at 0 station (level with the ischial spines), indicating engagement in the pelvis.

Extract:

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.


Question 5 of 5

Which of the following is an expected finding?

Correct Answer: A

Rationale: A headache is a common symptom of severe preeclampsia due to cerebral hypertension. Clonus is present, not absent, and oliguria, not polyuria, is typical.

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