Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.


Question 1 of 5

Which of the following recommendations should the nurse give the client?

Correct Answer: B

Rationale: Expressing milk relieves engorgement, a normal response at 3 days postpartum, maintaining supply and reducing discomfort.

Extract:

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Lateral positioning improves placental perfusion, addressing uteroplacental insufficiency indicated by late decelerations, prioritizing fetal oxygenation.

Extract:

A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: An ice pack reduces inflammation and numbs pain by causing vasoconstriction, effective for episiotomy discomfort within the first 24 hours post-delivery.

Extract:

A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing.


Question 4 of 5

Which of the following factors will cause variable decelerations in the fetal heart rate?

Correct Answer: D

Rationale: Variable decelerations result from umbilical cord compression, reducing fetal blood flow, requiring repositioning to alleviate pressure.

Extract:

A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'


Question 5 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Breast milk typically comes in 3-5 days post-delivery, driven by hormonal changes and suckling, aligning with normal lactation onset.

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