ATI RN
ATI Maternal Newborn Quiz Questions
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 1 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.
Extract:
Patient is G6P5, currently 39 weeks pregnant with twins, AFI is 30cm (polyhydramnios), complaining of pain related to contractions 5 minutes apart, membranes intact, vaginal exam 5/100/0, with large uterine fibroids, history of preterm labor, chlamydia positive.
Question 2 of 5
The nurse should recognize that the client is at risk of due to
Correct Answer: B
Rationale: Polyhydramnios and multiple gestation cause uterine overdistension, increasing the risk of postpartum hemorrhage due to uterine atony.
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 client who is postpartum.
Question 4 of 5
Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?
Correct Answer: B
Rationale: Multiparous clients with large babies (G3P2, 9lb) experience stronger afterbirth pains due to repeated uterine stretching and involution.
Extract:
A client receiving Labetalol 40MG IV q4h.
Question 5 of 5
The nurse is administering Labetalol 40MG IV q4h. On hand is a 5ML multi-dose vial with a concentration of 5MG/ML. How many ML will the nurse administer every four hours?
Correct Answer: C
Rationale: Calculation: 40 mg / 5 mg/mL = 8 mL, the correct dose to administer every four hours.