Questions 41

ATI RN

ATI RN Test Bank

ATI RN Custom 2023 Fall Exam 3 Questions

Extract:

A nurse is caring for a client on the second day postpartum. The client informs the nurse that she is voiding a large volume of urine frequently.


Question 1 of 5

Which factor should the nurse identify as a potential cause for urinary frequency?

Correct Answer: D

Rationale: Postpartum diuresis is the body's way of eliminating excess fluid from pregnancy, causing frequent, large-volume urination.

Extract:

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?


Question 2 of 5

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?

Correct Answer: C

Rationale: Drying the newborn and placing it skin-to-skin on the mother prevents hypothermia and promotes bonding, making it the immediate priority.

Extract:

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The findings are normal for 1 hour postpartum (large lochia rubra, small clots, firm fundus), so the nurse should document and monitor. No intervention is needed.

Extract:

A nurse is assessing a postpartum woman.


Question 4 of 5

Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Correct Answer: A

Rationale: Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase, as explained in Q8.

Extract:

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1.


Question 5 of 5

Which of the following interpretations of this finding should the nurse make?

Correct Answer: B

Rationale: In a vaginal examination, '-1' refers to the station, meaning the presenting part is 1 cm above the ischial spines. Effacement and dilation are measured differently.

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