ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
Four clients, each two hours post-birth
Question 1 of 5
After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?
Correct Answer: A
Rationale: This client should be reassessed by the RN prior to transfer, as worsening perineal pain may indicate a hematoma, infection, or inadequate pain management. The RN should inspect the perineum, check the vital signs, and evaluate the effectiveness of the medication. A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour is normal, strong afterbirth pains during breastfeeding are expected in multiparous women, and a small clot is typical without excessive bleeding.
Extract:
None
Question 2 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, leading to excessive bleeding, a primary cause of postpartum hemorrhage. Pregnancy-induced hypertension, meconium-stained fluid, and oligohydramnios are not direct risk factors for postpartum hemorrhage.
Extract:
A client who is pregnant and has HIV
Question 3 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Bathing the newborn before skin-to-skin contact reduces HIV transmission risk by removing maternal fluids. Fetal scalp electrodes increase infection risk, stopping antiretrovirals is harmful, and pneumococcal immunization is not standard for HIV-exposed newborns.
Extract:
A client and her partner
Question 4 of 5
A nurse is teaching a client and her partner about the technique of counterpressure during labor. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: Counterpressure involves applying upward or firm pressure to the lower back or hips to relieve labor pain, especially during back labor. Pressure on the thumb, uterus, or finger is not part of this technique and could be ineffective or harmful.
Extract:
A client who is at 32 weeks of gestation and has cholelithiasis
Question 5 of 5
A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet?
Correct Answer: A
Rationale: Baked chicken is a lean protein with healthy fats, helping the gallbladder contract without exacerbating cholelithiasis. French fries, whole milk, and bacon cheeseburgers contain unhealthy fats that can worsen gallbladder issues.