ATI RN
ATI Maternal Newborn Quiz Questions
Extract:
A client who gave birth 2 days ago, with respirations 26 breaths/min and labored, complaining of chest pain and shortness of breath.
Question 1 of 5
A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse-midwife to her concern that the client may be experiencing:
Correct Answer: A
Rationale: Symptoms of tachypnea, chest pain, and dyspnea with clear lung sounds suggest pulmonary embolism, a life-threatening postpartum complication.
Extract:
A new nurse discussing the need to support the lower uterine segment.
Question 2 of 5
When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding?
Correct Answer: B
Rationale: Supporting the lower uterine segment is necessary due to stretched ligaments post-delivery, which can weaken uterine support.
Extract:
A client who is four hours postpartum with temperature 39°C (102.2°F), pulse 96 beats per minute, respirations 18 breaths per minute.
Question 3 of 5
A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?
Correct Answer: C
Rationale: Acetaminophen (Tylenol) reduces fever, addressing the elevated temperature effectively.
Extract:
A patient who delivered vaginally 48 hours ago.
Question 4 of 5
You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?
Correct Answer: C
Rationale: The fundus descends approximately 1 cm daily; at 48 hours postpartum, it should be 2 cm below the umbilicus.
Extract:
A client who gave birth 15 days ago with a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F).
Question 5 of 5
A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by
Correct Answer: D
Rationale: Endometritis, an infection of the uterine lining, causes foul-smelling lochia and fever, often leading to excessive bleeding.