ATI RN
Maternal and Newborn Nursing Questions
Question 1 of 5
The nurse is assessing a postpartum client who is breastfeeding. What finding requires further evaluation?
Correct Answer: C
Rationale: Cracked and bleeding nipples may indicate poor latch or incorrect breastfeeding technique, requiring intervention.
Question 2 of 5
As a nurse providing anticipatory guidance to parents of newborns, for which reason would you advise against allowing young siblings to feed an infant?
Correct Answer: A
Rationale: Young children may not properly handle the infant, increasing the risk of aspiration.
Question 3 of 5
During the first few minutes after birth which physiologic changes occurs in the newborn as response to vascular pressure changes in increased oxygen levels?
Correct Answer: A
Rationale: Immediately after birth, as the newborn takes its first breaths and transitions to breathing air, there is a rapid increase in oxygen levels in the blood. This sudden increase in oxygen causes the pulmonary vessels in the newborn's lungs to dilate. This dilation helps improve blood flow through the lungs, allowing for efficient exchange of oxygen and carbon dioxide. The dilation of pulmonary vessels is a normal physiologic response to the changing environment in the newborn's body after birth.
Question 4 of 5
What response should the nurse make first to a young woman who showered after a sexual assault?
Correct Answer: A
Rationale: Preserving evidence is critical for legal proceedings.
Question 5 of 5
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus indicates that the uterus is not adequately contracting, which can obstruct the flow of urine from the bladder. Postpartum clients often experience urinary retention due to decreased sensation in the bladder, trauma from delivery, and decreased bladder tone. Failure to empty the bladder promptly can lead to urinary retention and potential complications such as urinary tract infections or bladder distention. Therefore, the nurse should be alert to the client's need to urinate when assessing the fundal height.