ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in labor.
Question 1 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
Extract:
A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed.
Question 2 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 caring for a client in labor who is experiencing abruptio placentae.
Question 3 of 5
What findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common symptom of abruptio placentae due to the premature separation of the placenta causing uterine irritability.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).
Question 4 of 5
What should the nurse anticipate?
Correct Answer: D
Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 5 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.