ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed.
Question 1 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: B
Rationale: Urinating 30 ml/h meets the minimum acceptable output, indicating effective voiding post-catheter removal.
Extract:
A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.
Question 2 of 5
The nurse realizes that the patient is at risk for which of the following conditions?
Correct Answer: D
Rationale: Rapid labor progression (80% effaced, 8 cm in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 3 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.
Extract:
A nurse is assessing a patient who is 6 hours postpartum and has endometritis.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Uterine tenderness is a hallmark of endometritis, an inflammation of the uterine lining often post-delivery.
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 5 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 addresses the common IVF risk of multiple pregnancies, requiring potential intervention.