ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a key action in the early postpartum period. Fluid bolus, restriction, and misoprostol are not indicated without severe features.
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 hallmark of placenta previa due to placental disruption near the cervix. Painful or rigid findings suggest other conditions like abruptio placentae.
Extract:
A nurse is caring for a client. Nurses' Notes: Initial visit, 1340: 29-year-old G2P0, positive hCG 2 weeks ago, LMP 7 weeks ago, vomiting daily for 2 weeks, vegetarian, poor protein intake, decreased skin turgor, moist mucous membranes, weight 79.4 kg. Vital Signs: HR 110/min, RR 18/min, BP 104/66 mmHg, Temp 36.6°C, SpO2 99%. Labs: WBC 7,500/mm³, Hgb 10.2 g/dL, Hct 45%, Platelets 360,000/mm³, Na 136 mEq/L, K 3.3 mEq/L, BUN 28 mg/dL, UA: dark amber, SG 1.045.
Question 3 of 5
Click to highlight the findings that require follow-up.
Correct Answer: A, B, C, D, E, F
Rationale: Vomiting (
A), decreased turgor (
B), low Hgb (
C), low potassium (
D), high BUN (E), and dark amber urine with high SG (F) indicate dehydration, anemia, and electrolyte imbalance needing follow-up.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a lactated Ringer's bolus restores fluid volume and stabilizes blood pressure due to persistent bleeding, addressing the immediate concern of fluid loss.
Extract:
A nurse is caring for a client and their newborn.
Question 5 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: Reviewing the birth experience is typical of the taking-in phase, where the mother focuses on her own needs and processing the delivery.