ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP).
Question 1 of 5
Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: B
Rationale: Providing a sitz bath is a routine task that does not require clinical judgment and can be safely delegated to an AP. Checking vital signs for gestational hypertension, observing breast redness, and changing perineal pads involve assessments requiring nursing skills.
Extract:
After childbirth, the uterus should contract and become firm.
Question 2 of 5
Why would the nurse massage a 'boggy' fundus?
Correct Answer: C
Rationale: Massaging a boggy fundus stimulates uterine contractions to make it firm, preventing excessive bleeding and aiding involution.
Extract:
A newborn is wet, leading to potential heat loss from evaporation.
Question 3 of 5
Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?
Correct Answer: B
Rationale: Drying the infant with a warm blanket directly prevents evaporative heat loss by removing moisture from the skin.
Extract:
A nurse is reinforcing teaching with a client who is breastfeeding.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Iron needs decrease during lactation to 9 mg/day due to no menstrual losses and recycling of iron from pregnancy, making high-iron prenatal vitamins less necessary.
Extract:
The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream.
Question 5 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: A
Rationale:
Total intake is calculated as: 1000 mL (IV) + 177 mL (6 oz coffee) + 177 mL (6 oz water) + 180 mL (soup) + 89 mL (3 oz gelatin) + 89 mL (3 oz ice cream) = 1712 mL.