ATI RN
ATI Maternity Nur230 Questions
Extract:
Postpartum client with fundus displaced laterally to the right and uterine atony
Question 1 of 5
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is found to be displaced laterally to the right, and there is uterine atony. Which of the following is the cause of the uterine atony?
Correct Answer: A
Rationale: Urinary retention can displace the uterus, preventing proper contraction and leading to uterine atony.
Extract:
Newborn born at 32 weeks of gestation with birth weight of 1,100 g
Question 2 of 5
A nurse is assisting with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. What are the expected findings in this newborn? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Preterm newborns at 32 weeks often have long nails, weak grasp reflex due to immature nervous systems, and lanugo due to incomplete shedding.
Extract:
Client at 28 weeks of gestation who received terbutaline
Question 3 of 5
A nurse is caring for a client who is at 28 weeks of gestation and received terbutaline. What findings should the nurse expect?
Correct Answer: C
Rationale: Terbutaline, a tocolytic, inhibits uterine contractions to prevent preterm labor.
Extract:
Multiple clients on the postpartum unit
Question 4 of 5
A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?
Correct Answer: C
Rationale: An erythematous episiotomy extended to a third-degree laceration increases infection risk due to the deeper tissue involvement and potential for bacterial growth.
Extract:
6-month-old infant who underwent a cardiac catheterization for pulmonary stenosis
Question 5 of 5
A nurse is providing care for a 6-month-old infant who underwent a cardiac catheterization. The child was diagnosed with pulmonary stenosis early in infancy and was admitted today for a balloon angioplasty procedure. Which of the following should the nurse plan to include in the discharge teaching?
Correct Answer: C
Rationale: Administering acetaminophen or ibuprofen for pain management is appropriate post-catheterization to alleviate discomfort from the procedure site.