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Practice Question

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. Which of the following explanations of the primary reason should the nurse provide?

Answer Choices:

Correct Answer:

"This could result in profound bleeding."

Rationale:

🚫 In placenta previa, the placenta partially or completely covers the cervical os.

💉 Performing a digital or internal exam can disrupt the placenta and cause severe hemorrhage.

🛑 This is a medical emergency, and internal exams are avoided until placenta location is confirmed via ultrasound.

🦠 While infection and rupture are concerns, the main priority is bleeding control.

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This question is from RN ATI Custom 2023 Fall NPR-1100 Exam 3 which contains 42 questions.

More Questions from This Exam
A nurse is teaching a client about positive signs of pregnancy. Which of the following findings should the nurse include?

Answer Choices:

A. Fetal heart tones detected by ultrasound.
B. Breast tenderness.
C. Positive urine pregnancy test.
D. Fatigue.
A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

Answer Choices:

A. "l should keep my baby's head covered."
B. "My baby’s bassinet should be kept away from tans and air conditioning."
C. "My baby's temperature will be checked rectally every hour."
D. "I should place my baby on my stomach and cover her with a warm blanket."
A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

Answer Choices:

A. Cervix dilation of 5 cm with 50% effacement.
B. Rupturing of fetal membranes.
C. Start of regular contractions.
D. Cervix dilation of 10 cm with 100% effacement
A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?

Answer Choices:

A. Stimulate the infant to cry.
B. Clear the respiratory tract.
C. Dry the infant off and cover the head.
D. Cut the umbilical cord.
Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

Answer Choices:

A. Sitz baths cause perineal vasoconstriction and decreased bleeding.
B. The longer a sitz bath is continued, the more therapeutic it becomes.
C. Sitz baths increase the blood supply to the perineal area.
D. Sitz baths may lead to increased postpartum infection.
From Exam
RN ATI Custom 2023 Fall NPR-1100 Exam 3

42 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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