ATI Detailed Answer Key Leadership 2024 Assessment
(Latest-2024) (Verified Answers, COMPLETE GUIDE
FOR EXAM PREPARATION)..
Placenta previa - ANSWER Condition when placenta implants in lower uterus,
causing painless red vaginal bleeding
Abruptio placenta - ANSWER Separation of placenta from uterine implantation site,
causing painful bleeding and nonrelaxed uterus
Intermittent abdominal pain following passage of bloody mucus - ANSWER
Description of normal labor, loss of cervical mucous plug
Lochia rubra with small clots - ANSWER Expected finding 1 hr postpartum,
document and continue monitoring
Fundus firm at umbilicus - ANSWER Expected finding 1 hr postpartum, document
and continue monitoring
Increase frequency of fundal massage - ANSWER Not indicated for firm fundus at
umbilicus
Encourage client to empty bladder - ANSWER Not indicated for firm fundus at
umbilicus
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
, Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Urinary frequency - ANSWER Occurs during first trimester and near end of
pregnancy due to increased bladder sensitivity and pressure
Rubella immunization - ANSWER Offered following birth to prevent rubella during
current or subsequent pregnancies
Clear the respiratory tract - ANSWER First action to take immediately following
delivery
Cut the umbilical cord - ANSWER Not the first action to take immediately following
delivery
Stimulate the infant to cry - ANSWER Not the first action to take immediately
following delivery
Dry the infant off and cover the head - ANSWER Should be done shortly after
delivery, but not the first action to take immediately following delivery
What part of the exam makes you most nervous? - ANSWER Therapeutic response
to encourage client to express concerns
A nurse in labor and delivery is caring for a client. Following delivery of the placenta,
the nurse examines the umbilical cord. Which of the following vessels should the
nurse expect to observe in the umbilical cord? - ANSWER Two arteries and one vein
An intrauterine device (IUD) - ANSWER One of the most reliable methods of
contraception with a failure rate of less than 1 in 100 users
A male condom - ANSWER Has 11 to 16 failures for every 100 users
An oral contraceptive - ANSWER Has about 8 failures for every 100 users
A diaphragm with spermicide - ANSWER Has about 16 failures for every 100 users
Negative rubella titer - ANSWER Indicates client is susceptible to rubella virus and
needs vaccination following delivery
(Latest-2024) (Verified Answers, COMPLETE GUIDE
FOR EXAM PREPARATION)..
Placenta previa - ANSWER Condition when placenta implants in lower uterus,
causing painless red vaginal bleeding
Abruptio placenta - ANSWER Separation of placenta from uterine implantation site,
causing painful bleeding and nonrelaxed uterus
Intermittent abdominal pain following passage of bloody mucus - ANSWER
Description of normal labor, loss of cervical mucous plug
Lochia rubra with small clots - ANSWER Expected finding 1 hr postpartum,
document and continue monitoring
Fundus firm at umbilicus - ANSWER Expected finding 1 hr postpartum, document
and continue monitoring
Increase frequency of fundal massage - ANSWER Not indicated for firm fundus at
umbilicus
Encourage client to empty bladder - ANSWER Not indicated for firm fundus at
umbilicus
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
, Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Administer vitamin K - ANSWER Important, but can be delayed until newborn is held
by mother and breastfed
Dry the skin - ANSWER Thoroughly dry newborn, cover with warm blanket to
prevent cold stress
Administer eye prophylaxis - ANSWER Should occur within first hour after birth
Place an identification bracelet - ANSWER Important, but can be delayed until
mother and newborn leave delivery room
Urinary frequency - ANSWER Occurs during first trimester and near end of
pregnancy due to increased bladder sensitivity and pressure
Rubella immunization - ANSWER Offered following birth to prevent rubella during
current or subsequent pregnancies
Clear the respiratory tract - ANSWER First action to take immediately following
delivery
Cut the umbilical cord - ANSWER Not the first action to take immediately following
delivery
Stimulate the infant to cry - ANSWER Not the first action to take immediately
following delivery
Dry the infant off and cover the head - ANSWER Should be done shortly after
delivery, but not the first action to take immediately following delivery
What part of the exam makes you most nervous? - ANSWER Therapeutic response
to encourage client to express concerns
A nurse in labor and delivery is caring for a client. Following delivery of the placenta,
the nurse examines the umbilical cord. Which of the following vessels should the
nurse expect to observe in the umbilical cord? - ANSWER Two arteries and one vein
An intrauterine device (IUD) - ANSWER One of the most reliable methods of
contraception with a failure rate of less than 1 in 100 users
A male condom - ANSWER Has 11 to 16 failures for every 100 users
An oral contraceptive - ANSWER Has about 8 failures for every 100 users
A diaphragm with spermicide - ANSWER Has about 16 failures for every 100 users
Negative rubella titer - ANSWER Indicates client is susceptible to rubella virus and
needs vaccination following delivery
