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:
The client's laboratory results show signs consistent with dehydration and electrolyte imbalances, such as a low potassium level (3.3 mEq/L) and an elevated blood urea nitrogen (BUN) level (28 mg/dL).
Question 2 of 5
Complete the following statement: The client is at risk of developing __ due to the client's __
Correct Answer: A
Rationale: Hyperemesis gravidarum is characterized by severe nausea, vomiting, weight loss, and dehydration during pregnancy. The client's laboratory results, including low potassium (3.3 mEq/L) and elevated BUN (28 mg/dL), indicate dehydration and electrolyte imbalances, which are consistent with this condition.
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 3 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 4 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.
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.