Questions 26

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Moitoso 4T Exam Questions

Extract:

Client who experienced a vaginal birth 20 hours ago, in the taking-in phase of maternal postpartum adjustment


Question 1 of 5

A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?

Correct Answer: C

Rationale: During the taking-in phase, mothers often focus on processing their birth experience, commonly discussing labor and delivery events to integrate the experience.

Extract:

Client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta


Question 2 of 5

A nurse is caring for a client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta. Which of the following findings indicates that the medication was effective?

Correct Answer: D

Rationale: A firm fundus indicates effective uterine contractions, the desired outcome of oxytocin administration to prevent postpartum hemorrhage.

Extract:

Client who is postpartum with fundus firm and deviated to the left, lochia rubra and scant


Question 3 of 5

A nurse is caring for a client who is postpartum and finds the fundus firm and deviated to the left, lochia is rubra and scant. Based on these findings, which of the following actions should the nurse take?

Correct Answer: C

Rationale: A deviated fundus suggests bladder distention, and assisting the client to void relieves pressure, aiding uterine positioning and contraction.

Extract:

Client during delivery


Question 4 of 5

A nurse is caring for a client during delivery. What is a priority action of the nurse to promote parent-infant bonding immediately after delivery?

Correct Answer: B

Rationale: Skin-to-skin contact immediately after delivery promotes bonding, regulates infant vitals, and enhances emotional connection.

Extract:

Client who is breastfeeding with sore and cracking nipples


Question 5 of 5

A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: A successful latch prevents nipple trauma, addressing the primary cause of soreness and cracking, and promotes healing.

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