ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
"A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago."
Question 1 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A, C, D
Rationale: The correct answers are A, C, and D. Vacuum-assisted delivery can lead to uterine atony, increasing the risk of postpartum hemorrhage. History of uterine atony is a risk factor itself. Labor induction with oxytocin can cause rapid and prolonged contractions, leading to postpartum hemorrhage.
Choices B and E are not directly related to postpartum hemorrhage risk. Human papillomavirus does not increase the risk, and newborn weight is not a factor in postpartum hemorrhage.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. It suggests an overgrowth of harmful bacteria or yeast. Thick, white vaginal discharge (choice
A) is characteristic of a yeast infection. Vulva lesions (choice
B) may indicate an STD or skin condition. Urinary frequency (choice
C) is not typically associated with vaginal infections. In summary, malodorous discharge is the most concerning finding, as it signifies a possible infection, while the other choices are less specific or unrelated.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 3 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Restrict daily oral fluid intake. This action is important for patients with heart failure to prevent fluid overload. Administering an IV bolus of lactated Ringer's (
A) can exacerbate fluid overload. Obtaining misoprostol (
B) is not relevant to managing heart failure. Assessing blood pressure twice daily (
C) is important but not the priority.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it indicates hyperglycemia, which may require adjustment in the patient's diabetes management plan to prevent complications. A: WBC count within the range, so not urgent. B: Hematocrit within the range, so not critical. D: Creatinine within the range, so not an immediate concern. Reporting C is crucial for timely intervention.