ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client 2 weeks postpartum with mastitis
Question 1 of 5
A nurse is planning care for a client who is 2 weeks postpartum and has mastitis. Which of the following interventions should the nurse include?
Correct Answer: A,B,E
Rationale: Hand washing, proper latching, and air-drying nipples prevent infection and promote healing; continued breastfeeding/pumping clears mastitis.
Extract:
Newborn following vacuum-assisted delivery
Question 2 of 5
A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Poor sucking may indicate neurological issues post-vacuum delivery, requiring reporting, unlike normal acrocyanosis, caput succedaneum, or transient edema.
Extract:
Postpartum client with displaced fundus
Question 3 of 5
A postpartum client's fundus is firm, 3 cm above the umbilicus, and displaced to the right. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: A full bladder displaces the fundus; voiding corrects position, unlike massaging a firm fundus, documenting abnormality, or ambulating.
Extract:
Client 2 hr after vaginal birth with saturated pads
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Oxytocic medication (oxytocin) stops excessive bleeding by promoting uterine contractions, addressing hemorrhage urgently, before palpation, voiding, or fluids.
Extract:
Client who gave birth 12 hr ago with excessive vaginal bleeding
Question 5 of 5
A nurse is assessing a client who gave birth 12 hr ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output?
Correct Answer: C
Rationale: Hypotension from blood loss indicates reduced cardiac output, unlike bradycardia, flushed face, or polyuria, which are unrelated or compensatory.