ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth.
Question 1 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: D
Rationale: A distended bladder can displace the uterus, causing the fundus to deviate from the midline, interfering with uterine contraction and potentially leading to uterine atony and excessive bleeding.
Extract:
The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 2 of 5
The nurse documents this finding as
Correct Answer: D
Rationale: Cephalohematoma is a collection of blood beneath the periosteum of the infant's skull bones that does not cross suture lines, unlike caput succedaneum, which involves swelling that crosses suture lines.
Extract:
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh(D) immunoglobulin.
Question 3 of 5
Which of the following should be included in the teaching?
Correct Answer: A
Rationale: Rh immunoglobulin prevents Rh-negative mothers from developing antibodies against Rh-positive fetal blood cells, protecting future pregnancies from hemolytic disease of the newborn.
Extract:
A nurse is assisting a client who is postpartum with her first breastfeeding experience. The client asks how much of the nipple she should put into the newborn's mouth.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A proper latch includes the nipple and a portion of the areola, ensuring effective milk transfer and reducing nipple soreness.
Extract:
At midpoint during pregnancy, you review beginning signs of labor with a client.
Question 5 of 5
One of the beginning signs of labor you would review is:
Correct Answer: B
Rationale: A sudden gush of clear fluid indicates rupture of membranes, a common sign of labor onset, signaling the start of labor or impending delivery.