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ATI RN Maternal Newborn Online
Practice 2024 A
1. A nurse is caring for a client who has uterine atony and is
experiencing postpartum hemorrhage. Which of the following
actions is the nurse’s priority?
• Massage the client’s fundus
Uterine atony and postpartum hmorrhage indicate that this
client is at the greatest risk for hypovolemic shock. This
can compromise the client’s vital organs, which can lead to
death. Therefore, the nurse’s priority is to massage the
client’s fundus to minimize blood loss.
2. A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the initiation of
the oxytocin infusion and should be reported to the provider?
• Late decelerations
Late decelerations are indicative of uteroplacental
insufficiency. Therefore, this is a contraindication for the
administration of oxytocin and should be reported to the
provider.
3. A nurse is assessing a client who has severe preeclampsia. Which of the
following manifestations should the nurse expect?
• Blurred vision
The nurse should identify that a client who has severe
preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual
disturbances, such as blurred vision, double vision, or dark
spots in the visual field.
4. A nurse is assessing a client who is 1 day-postpartum and has a vaginal
hematoma. Which of the following manifestation should the nurse
expect?
• Vaginal pressure
• The nurse should expect a client who has a vaginal
hematoma to report pressure in the vagina due to the
blood that leaked into the tissues.
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5. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic tests?
• Biophysical profile
• A positive contraction stress test indicates that further
evaluation of the fetus is necessary. A biophysical profile will
provide further evaluation with a real-time ultrasound.