ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The findings are normal for 1 hour postpartum (large lochia rubra, small clots, firm fundus), so the nurse should document and monitor. No intervention is needed.
Extract:
A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.
Question 2 of 5
The nurse should verify which of the following prior to administration?
Correct Answer: D
Rationale: Rho (
D) immunoglobulin is given when the client is Rh negative and the newborn is Rh positive to prevent sensitization in future pregnancies.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 3 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Applying hot packs during feeding can worsen engorgement by increasing blood flow; cold packs after feeding and frequent breastfeeding help. Cabbage leaves are a valid remedy.
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 4 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: Cervical dilation is a definitive sign of labor progression. Discharge and fluid may occur but aren't confirmatory alone.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Question 5 of 5
Which of the following findings support this diagnosis?
Correct Answer: B
Rationale: Painless red vaginal bleeding is a hallmark of placenta previa due to the placenta's low position. Painful bleeding suggests abruptio placenta.