Questions 74

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Exam Final Questions

Extract:

A client who is 2 hours postpartum, soaked a perineal pad in 10 minutes, ashen skin, feels weak and light-headed, oxygen applied at 10 L/min via non-rebreather mask


Question 1 of 5

Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: Fundal massage stimulates uterine contractions to control bleeding in postpartum hemorrhage, the likely cause of symptoms. Positioning, oxytocin, and catheterization follow if needed.

Extract:

A patient who has been admitted to the labor and delivery unit


Question 2 of 5

What condition is the patient most likely experiencing, what actions should the nurse take, and what parameters should the nurse monitor?

Correct Answer: A

Rationale: Preterm labor is likely, requiring tocolytics to reduce contractions, with contraction frequency monitored to assess progress. Specific details are lacking but align with the scenario.

Extract:

A client who is 4 hours postpartum following a vaginal delivery


Question 3 of 5

Which of the following findings should the nurse prioritize?

Correct Answer: B

Rationale: A saturated perineal pad in 30 minutes indicates excessive bleeding, suggestive of postpartum hemorrhage, a life-threatening condition requiring immediate intervention. Fundus at the umbilicus is normal at this stage, approximated episiotomy edges are expected, and 4+ reflexes may suggest preeclampsia but are less urgent in the postpartum period.

Extract:

A client who is 2 hours postpartum, soaked a perineal pad in 10 minutes, ashen skin, feels weak and light-headed, oxygen applied at 10 L/min via non-rebreather mask


Question 4 of 5

Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: Fundal massage stimulates uterine contractions to control bleeding in postpartum hemorrhage, the likely cause of symptoms. Positioning, oxytocin, and catheterization follow if needed.

Extract:

A client who is suspected of having a hydatidiform mole


Question 5 of 5

Which of the following findings should the nurse expect to observe in this client?

Correct Answer: D

Rationale: Excessive uterine enlargement is characteristic of a hydatidiform mole due to trophoblastic overgrowth. High hCG levels, grape-like vaginal bleeding, and absence of a fetus are typical, not the other options.

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