ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Postpartum clients with assistive personnel (AP)
Question 1 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: C
Rationale: Providing a sitz bath is within the AP's scope, not requiring clinical judgment, unlike the other tasks.
Extract:
New mother asking about infant feeding
Question 2 of 5
A new mother asks the nurse what the 'experts say' about the best way to feed her infant. Which recommendation of the American Academy of Pediatrics (AAP) regarding infant nutrition should be shared with this client?
Correct Answer: B
Rationale: The AAP recommends exclusive breastfeeding for the first 6 months to provide optimal nutrition and health benefits.
Extract:
Client is 1 hr postpartum with large amount of lochia rubra and small clots, fundus midline and firm
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lochia rubra with small clots and a firm, midline fundus are expected findings, requiring only continued monitoring.
Extract:
Client is 2 hr postpartum following a vaginal birth
Question 4 of 5
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A fundus displaced to the right suggests a distended bladder pushing the uterus aside, requiring intervention.
Extract:
Woman gave birth 48 hours ago to a healthy infant girl, bottle feeding, breasts swollen, warm, and tender
Question 5 of 5
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which guidance should the nurse provide to the client at this time?
Correct Answer: D
Rationale: Ice application reduces swelling and discomfort from engorgement in a non-breastfeeding mother.