ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who is breastfeeding
Question 1 of 5
A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?
Correct Answer: C
Rationale: Breastfeeding mothers need an additional 450-500 kCal per day to support milk production and maintain energy levels, ensuring a balanced diet to meet nutritional demands.
Extract:
Client who is 6 hours postpartum with a light amount of lochia rubra on the perineal pad, fundus midline and firm at the umbilicus
Question 2 of 5
A nurse is caring for a client who is 6 hours postpartum and observes a light amount of lochia rubra 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: C
Rationale: A light amount of lochia rubra and a firm, midline fundus are normal findings at 6 hours postpartum, requiring only documentation and continued monitoring.
Extract:
Client who is 18 hours postpartum with heart rate 125 bpm, fundus palpable at the umbilicus, urine output of 3,000 mL in 24 hr, orthostatic hypotension
Question 3 of 5
A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?
Correct Answer: A
Rationale: A heart rate of 125 bpm indicates tachycardia, which may suggest complications like infection or hemorrhage, necessitating further assessment.
Extract:
29-year-old G3P3003 with uncomplicated SVD at term, husband at bedside, older daughter meeting sibling; 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, on Magnesium Sulfate, baby in NICU; 31-year-old G3P2012 with uncomplicated SVD, history of depression, husband deployed; 16-year-old G1P1001 delivered via cesarean; 20-year-old G1P1001 with unmedicated SVD, boyfriend present
Question 4 of 5
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?
Correct Answer: B
Rationale: The 37-year-old with preeclampsia, preterm delivery, and a baby in the NICU faces significant stressors, including medical complications and separation from her newborn, increasing the risk of a difficult transition to motherhood.
Extract:
Client who experienced a vaginal birth 20 hours ago, in the taking-in phase of maternal postpartum adjustment
Question 5 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.