Questions 49

ATI RN

ATI RN Test Bank

ATI Maternal Newborn 2023 Questions

Extract:

A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1.


Question 1 of 5

Which of the following interpretations of this finding should the nurse make?

Correct Answer: C

Rationale: The documentation “-1” in a vaginal examination indicates that the presenting part is 1 cm above the ischial spines, a common finding during labor.

Extract:

A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient's blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.


Question 2 of 5

What should be the nurse's immediate course of action?

Correct Answer: D

Rationale: Positioning the patient laterally is the immediate course of action to maximize venous return and improve maternal blood pressure and fetal perfusion after epidural-induced hypotension.

Extract:

A nurse in a healthcare provider's office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption.


Question 3 of 5

The nurse should recognize that which of the following is the most common risk factor for abruption?

Correct Answer: B

Rationale: Hypertension is the most common risk factor for placental abruption, as high blood pressure can damage placental blood vessels.

Extract:

A nurse is caring for a client who is at 34 weeks of gestation. The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years. The client was admitted to the antepartum unit from the provider's office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.


Question 4 of 5

What condition is the client most likely experiencing?

Correct Answer: A

Rationale: The client's symptoms of elevated blood pressure, 3+ edema, and 3+ proteinuria, combined with her history, indicate preeclampsia, requiring seizure precautions and monitoring of neurological status and liver function.

Extract:

A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes. The nurse suspects placenta previa.


Question 5 of 5

What would be an appropriate nursing action in this situation?

Correct Answer: C

Rationale: Preparing for a cesarean birth is appropriate for suspected placenta previa, as significant bleeding indicates the need for surgical delivery to ensure maternal and fetal safety.

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