ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 2 of 5
What information should the nurse provide to the client?
Correct Answer: D
Rationale: Informing the client about the possible need for reduction of multiple fetuses is key in IVF counseling due to the risk of multiple gestations from transferring multiple embryos.
Extract:
A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 3 of 5
What clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: A
Rationale: A firm and midline fundus is the therapeutic effect of oxytocin, promoting uterine contraction to reduce bleeding post-placenta expulsion.
Extract:
A nurse is caring for a client who has a placenta previa.
Question 4 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:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 5 of 5
What type of isolation precautions should the nurse initiate for the client?
Correct Answer: C
Rationale: Contact precautions are appropriate for Clostridium difficile, which spreads through direct contact with contaminated surfaces or feces.