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:
Postpartum client with headache not relieved by hydration, rest or OTC medication, brownish red or pink lochia at 7 days, chills and fever greater than 100.4 F, thoughts of harming self or infant, increased urinary output, redness, pain or tenderness in calf
Question 2 of 5
A nurse is providing discharge teaching to a postpartum client. The nurse emphasizes indications of potential complications and what to report to their provider. Which of the following findings should the nurse teach the client as a sign of a complication and requires further evaluation by a healthcare provider?
Correct Answer: A,C,D,F
Rationale: Headache unrelieved by usual measures may indicate preeclampsia; fever suggests infection; thoughts of harm signal postpartum depression or psychosis; calf symptoms suggest deep vein thrombosis, all requiring urgent evaluation.
Extract:
Postpartum client who delivered yesterday, had a vaginal delivery with a fourth-degree laceration, complains of constipation
Question 3 of 5
A nurse is caring for a postpartum client, who delivered yesterday and complains of constipation. She had a vaginal delivery complicated by a fourth degree laceration, which was repaired. Based upon this information, which of the following is contraindicated?
Correct Answer: D
Rationale: Rectal suppositories risk trauma and infection to the repaired fourth-degree laceration, making them contraindicated.
Extract:
Client 3 hours postpartum after a vaginal delivery with a second-degree laceration
Question 4 of 5
The nurse is providing education to a client that is 3 hours postpartum after a vaginal delivery with a second-degree laceration. Which of the following actions should the nurse include in the perineal care teaching?
Correct Answer: A,D,E
Rationale: Hand washing prevents infection, a squeeze bottle gently cleanses the perineum, and ice packs reduce swelling, all promoting healing and comfort.
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 5 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.