ATI MATERNAL NEWBORN PEDIATRIC LATEST TEST EXAM 2023-2024
A nurse is caring for a client who is in labor and experiencing incomplete uterine
... [Show More] relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for which of the following complications?
A. Prolonged labor
B. Reduced fetal oxygen supply
C. Delayed cervical dilation
D. Increased maternal stress - CORRECT ANSWER-B. Reduced fetal oxygen supply
2. A nurse is caring for a client who is in active labor and is noted to reports severe back
pain. During assessment, the fetus be in the occiput posterior position. Which of the
following maternal positions should the nurse suggest to the client to facilitate normal
labor progress?
A. Hands and knees
B. Lithotomy
C. Trendelenburg
D. Supine with a rolled towel under one hip - CORRECT ANSWER-A. Hands and knees
A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it is
noted that the fetus is in a breech presentation. For which of the following possible
complications should the nurse observe?
A. Precipitous labor
B. Premature rupture of membranes
C. Postmaturity syndrome
D. Prolapsed umbilical cord - CORRECT ANSWER-D. Prolapsed umbilical cord
A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which
of the following findings is the fetus at risk for developing?
A. Intrauterine growth restriction
B. Hyperglycemia
C. Meconium aspiration
D. Polyhydramnios - CORRECT ANSWER-C. Meconium aspiration
A nurse is caring for a client in active labor. When last examined 2 hr ago, the client's cervix was 3 cm dilated, 100% effaced, membranes intact, and the fetus was at a -2 station. The client suddenly states, "My water broke." The monitor reveals a FHR of 80 to 85/min, and the nurse performs a vaginal examination, noticing clear fluid and a pulsing loop of umbilical cord in the client's vagina. Which of the following actions should the nurse perform first?
A. Place the client in the Trendelenburg position.
B. Apply pressure to the presenting part with the fingers.
C. Administer oxygen at 10 L/min via a face mask.
D. Initiate IV fluids. - CORRECT ANSWER-B. Apply pressure to the presenting part with the fingers.
1. A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. The pad is saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document? A. Moderate lochia rubra
B. Excessive lochia serosa
C. Light lochia rubra
D. Scant lochia serosa - CORRECT ANSWER-A. Moderate lochia rubra
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A. Evidence of a possible vaginal hematoma
B. An indication of a cervical or perineal laceration
C. A normal postural discharge of lochia
D. Abnormally excessive lochia rubra flow - CORRECT ANSWER-C. A normal postural discharge of lochia
3. A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine. Which of the following statements by the client indicates understanding of the teaching?
A. "I will need to use contraception for 3 months before considering pregnancy."
B. "I need a second vaccination at my postpartum visit."
C. "I was given the vaccine because my baby is O-positive."
D. "I will be tested in 3 months to see if I have developed immunity." - CORRECT ANSWER-B. "I need a second vaccination at my postpartum visit."
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony?
A. Poor involution
B. Urinary retention
C. Hemorrhage
D. Infection - CORRECT ANSWER-B. Urinary retention [Show Less]
