ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who has a placenta previa.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Painless vaginal bleeding is a classic sign of placenta previa, where the placenta covers the cervix, unlike painful conditions like abruptio placentae.
Extract:
A nurse is caring for a client in labor who is experiencing abruptio placentae.
Question 2 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 planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 3 of 5
What actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a critical step in managing this condition postpartum.
Extract:
A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.
Question 4 of 5
The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mm³
Correct Answer: A
Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mm³ unrelated (normal range).
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 5 of 5
What information should the nurse provide to the client?
Correct Answer: D
Rationale: Informing the client about the possible need for reduction of multiple fetuses is key in IVF counseling due to the risk of multiple gestations from transferring multiple embryos.