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Practice Question

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

Answer Choices:

Correct Answer:

Disseminated intravascular coagulation

Rationale:

🟥 Abruptio placentae can release large amounts of thromboplastin into maternal circulation, triggering widespread clotting followed by a depletion of clotting factors.

🟥 This leads to DIC, which manifests with petechiae, oozing at IV sites, and bleeding.

🟥 DIC is a life-threatening complication that requires prompt recognition and intervention with blood products and heparin in some cases.

🟥 It reflects a consumptive coagulopathy, where clots and bleeding occur simultaneously.

🟥 Nurses should be alert to early signs like uncontrolled bleeding and bruising.

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This question is from RN ATI~Maternal &Newborn final Exam which contains 81 questions.

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A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)

Answer Choices:

A. Massage a firm fundus.
B. Determine whether the fundus is midline.
C. Document fundal height.
D. Observe the lochia during palpation of fundus.
E. Administer methylergonovine maleate if uterus is boggy.
Nurse is assessing a client who is in active labor and notes that the presenting part is at O station. Which of the following is the correct Interpretation of this clinical finding?

Answer Choices:

A. The posterior fontanel is palpable.
B. The lowermost portion of the fetus is at the level of the ischial spines.
C. The fetal head is in the left occiput posterior position.
D. The largest fetal diameter has passed through the pelvic outlet.
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?

Answer Choices:

A. A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors
B. A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes
C. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache
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A nurse is caring for a client who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority?

Answer Choices:

A. The client reports perfuse itching.
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A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?

Answer Choices:

A. Administer oxygen via nasal cannula.
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From Exam
RN ATI~Maternal &Newborn final Exam

81 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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