Questions 66

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ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is caring for a client who is at 36 weeks of gestation and has a suspected placenta previa.


Question 1 of 5

Which of the following findings support this diagnosis?

Correct Answer: C

Rationale: Painless red vaginal bleeding is characteristic of placenta previa, where the placenta covers the cervical os, unlike painful bleeding or mucus, which suggest other conditions.

Extract:

A nurse is caring for several clients.


Question 2 of 5

The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer: D

Rationale:
Tocolytic therapy is safe and appropriate for preterm labor at 26 weeks to delay delivery and enhance fetal lung maturity, unlike post-term pregnancy, Braxton-Hicks contractions, or fetal death, where it is not indicated.

Extract:

A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis.


Question 3 of 5

Which of the following instructions should the nurse give the client?

Correct Answer: C

Rationale: Emptying the bladder before amniocentesis reduces the risk of puncture and improves ultrasound visualization, unlike fasting, bowel prep, or washing, which are not standard requirements.

Extract:

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.


Question 4 of 5

Which of the following findings indicates the client's bladder is distended?

Correct Answer: A

Rationale: A fundus displaced to the right indicates bladder distension, which can push the uterus aside, unlike lochia amount, thirst, or contractions, which are unrelated.

Extract:

A nurse is caring for a client who is postpartum and has received methylergonovine.


Question 5 of 5

Which of the following findings indicates that the medication was effective?

Correct Answer: A

Rationale: A firm fundus indicates effective uterine contractions from methylergonovine, preventing hemorrhage, unlike breast pain, increased lochia, or blood pressure changes.

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