ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who is 3 days postpartum and breastfeeding, fundus three fingerbreadths below the umbilicus, light lochia rubra, breasts full and warm without redness or pain
Question 1 of 5
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is light, and the breasts are full and warm to palpation, without evidence of redness or pain. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: These findings are normal for 3 days postpartum, indicating proper uterine involution, normal lochia progression, and healthy milk production without signs of mastitis.
Extract:
Client who is 3 days postpartum and attempting to breastfeed with swelling in both breasts, white patch on a nipple, cracked and bleeding nipples, red and painful area in one breast
Question 2 of 5
A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?
Correct Answer: D
Rationale: A red and painful area in one breast is a hallmark of mastitis, often accompanied by systemic symptoms like fever, indicating localized infection.
Extract:
Student nurse reviewing milk production in pregnancy and postpartum
Question 3 of 5
A student nurse is reviewing the process of milk production in pregnancy and postpartum. Which of the following is the process of lactation maintenance and is reliant on breast stimulation and milk removal?
Correct Answer: A
Rationale: Galactopoiesis is the maintenance of lactation through ongoing breast stimulation and milk removal, driven by infant demand.
Extract:
Postpartum client with a distended bladder, unable to void after being assisted to the bathroom
Question 4 of 5
A nurse is caring for a postpartum client with a distended bladder. The client is assisted to the bathroom, but is unable to void. Which of the following interventions would be contraindicated?
Correct Answer: D
Rationale: Delaying intervention for a distended bladder risks complications like discomfort or hemorrhage, making waiting 2 hours contraindicated.
Extract:
Client who experienced a vaginal birth 20 hours ago, in the taking-in phase of maternal postpartum adjustment
Question 5 of 5
A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?
Correct Answer: C
Rationale: During the taking-in phase, mothers often focus on processing their birth experience, commonly discussing labor and delivery events to integrate the experience.