ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 32-year-old female 3 days postpartum via cesarean, reports chills, warm skin, 3+ edema, large lochia rubra, pain 5/10, temp 38.3°C, HR 110/min, BP 140/90.
Question 1 of 5
Which of the following findings require immediate follow-up? (Select all that apply)
Correct Answer: A, B, D, E, G
Rationale: Temp 38.3°C, HR 110/min, BP 140/90, large lochia rubra, and 3+ edema indicate infection, hemorrhage, or DVT, requiring urgent follow-up.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 2 of 5
What responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis diagnoses genetic disorders, not just fetal sex, which can be determined less invasively via ultrasound, making this the appropriate response.
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 3 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 28-year-old female at 15 weeks gestation reports frequent nausea, vomiting, fatigue, weight loss, dizziness, no abdominal pain.
Question 4 of 5
Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? (Select all that apply)
Correct Answer: A, B, C, D, E
Rationale: Sodium 132 mEq/L, urine specific gravity 1.035, potassium 3.3 mEq/L, HR 106/min, and weight loss indicate hyperemesis gravidarum complications (electrolyte imbalance, dehydration), requiring monitoring.
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 5 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.