ATI Maternity Exam | Nurselytic

Questions 44

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ATI Maternity Exam Questions

Extract:

A nurse is collecting data from a client who is postpartum.


Question 1 of 5

Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer: B

Rationale: A temperature of 100.4 F for two days indicates a possible infection, such as endometritis or mastitis, requiring further evaluation to prevent complications.

Extract:

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


Question 2 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 care of a client who is multigravid and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at +1 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.


Question 3 of 5

Which of the following is the appropriate nursing response?

Correct Answer: A

Rationale: Panting prevents premature pushing, reducing risks of cervical edema or lacerations until full dilation is confirmed.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-min period.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Checking the fundus identifies uterine atony, the primary cause of postpartum hemorrhage, allowing immediate intervention like massage to control bleeding.

Extract:

A nurse is caring for a client who is 12 hr postpartum.


Question 5 of 5

The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?

Correct Answer: A

Rationale: The taking-in phase involves excitement and reliance on others as the client processes the birth experience, typical within the first 24-48 hours.

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