ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hours 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, D
Rationale: Vacuum-assisted delivery (
A) can cause trauma leading to increased bleeding, and labor induction with oxytocin (
D) can lead to uterine atony, both increasing hemorrhage risk.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 2 of 5
Which finding should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: D
Rationale: Flank pain is a common manifestation of pyelonephritis, as the kidneys are located in the flank area.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 3 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: Emptying the bladder before the procedure can make it easier for the healthcare provider to access the uterus and amniotic sac.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 4 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ovulation will indeed remain the same after a tubal ligation. The procedure involves blocking or sealing the fallopian tubes, but the ovaries continue to release eggs.
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 5 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: If a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage after a cesarean birth, administering a 500 mL lactated Ringer's IV bolus can help increase the client's circulating volume and support her hemodynamic stability.