Practice Question
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The clients vital signs are: blood pressure 98/52 mm Hg, heart rate 1 18/min, respiratory rate 24/min, and temperature 36.40 C (97.60 F). Which of the following is the priority nursing action?
Answer Choices:
Correct Answer:
Initiate IV access.
Rationale:
💎 The client’s presentation suggests placenta previa or abruptio placentae, both of which may cause hemorrhage.
💎 The elevated heart rate and low blood pressure indicate hypovolemia and potential shock.
💎 Establishing IV access is the priority to administer fluids and blood products rapidly.
💎 Other actions like prepping for surgery or inserting a catheter are secondary to stabilizing the client.
💎 Early fluid resuscitation is critical to preserving perfusion and maternal-fetal survival.
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This question is from RN ATI Maternal Newborn Exam Nurs223G which contains 47 questions.
More Questions from This Exam
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client expresses that she is upset because, despite planning this pregnancy with her husband, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Answer Choices:
A. "Have you spoken to your mother about these feelings?"
B. "Don't worry. You will be fine once the baby is born.".
C. "Ambivalent feelings are quite common for women early in pregnancy.".
D. "Perhaps you should see a counselor to discuss these feelings further.".
A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?
Answer Choices:
A. If your sexual partner has no symptoms, no medication is needed.".
B. "You have to avoid sexual relations for 3 days.".
C. "This infection is treated with one dose of azithromycin.".
D. "You need to return in 6 months for retesting.".
A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?
Answer Choices:
A. She is 30 years old.
B. She has a family history of thromboembolism.
C. She has irregular menstrual cycles.
D. She has a history of allergy to foreign protein.
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?
Answer Choices:
A. "All you need to do is relax.".
B. "Don't worry, I will be with you during the exam.".
C. "A pelvic exam is required if you want birth control pills.".
D. "What part of the exam makes you most nervous?"
A nurse is considering contraceptive options for four patients. Which patient should the nurse identify as having a contraindication for oral contraceptives?
Answer Choices:
A. A 26-year-old patient who experiences migraines at the start of each menstrual cycle.
B. A 38-year-old patient who reports smoking one pack of cigarettes daily.
C. A 32-year-old patient with benign breast disease.
D. A 28-year-old patient with a history of pelvic inflammatory disease.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4
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