ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and experiences abruptio placenta.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common symptom of abruptio placentae due to bleeding and irritation behind the placenta, distinguishing it from other conditions. Hypertension may occur but isn't specific, fetal tachycardia can transition to bradycardia as abruption worsens, and leukorrhea is unrelated.
Extract:
A client who is taking an oral contraceptive.
Question 2 of 5
The nurse should instruct the client to report which of the following findings to the provider immediately?
Correct Answer: B
Rationale: Persistent headaches can signal serious complications like stroke or blood clots, which are rare but critical side effects of oral contraceptives requiring immediate reporting, unlike the other common or unrelated symptoms.
Extract:
A client who is in labor and has a spontaneous rupture of membranes. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 3 of 5
After calling for help, which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Using fingers to exert upward pressure on the presenting part relieves umbilical cord compression, the immediate priority to prevent fetal hypoxia, unlike the other subsequent actions.
Extract:
A postpartum client who has a prescription for a rubella immunization.
Question 4 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: Avoiding pregnancy for at least 1 month post-rubella immunization is correct due to theoretical fetal risk from this live vaccine, unlike the incorrect options: breastfeeding is safe, it's a single dose, and joint pain is a mild side effect not requiring immediate reporting.
Extract:
A newborn immediately following birth.
Question 5 of 5
How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.
| Finding | Unrelated to diagnosis | Indication client's condition is improving | Indication client's condition is worsening |
|---|---|---|---|
| Color: Consistent with genetic background - Unrelated | |||
| Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving | |||
| Muscle tone: flaccid - Worsening | |||
| Respiration effort: good cry - Improving | |||
| Heart rate 140/min - Improving |
Correct Answer: A,B,C,D,E
Rationale: A: Color consistent with genetic background is unrelated to initial findings, suggesting normal adjustment. B: Normal temperature and cry indicate improvement. C: Flaccid tone suggests worsening, possibly neurological. D: Good cry shows respiratory improvement. E: Normal heart rate (140/min) indicates cardiovascular stability.