ATI RN
ATI Custom Maternal Newborn Questions
Extract:
Client 2 hours postpartum, vaginal birth, saturated two perineal pads in 30 minutes
Question 1 of 5
A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the uterine fundus assesses for uterine atony, a common cause of postpartum hemorrhage indicated by excessive bleeding.
Extract:
Client 2 hours postpartum, vaginal birth
Question 2 of 5
A nurse is caring for a client who is 2 hours postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: B
Rationale: A fundus palpable to the right of midline suggests a distended bladder, which can displace the uterus from its normal position.
Extract:
Woman received 50 mcg fentanyl intravenously 1 hour before delivery
Question 3 of 5
A woman received 50 mcg of fentanyl intravenously 1 hour before delivery. What drug should the nurse have readily available?
Correct Answer: B
Rationale: Naloxone (Narcan) reverses opioid effects like fentanyl, critical for addressing potential respiratory depression in the newborn.
Extract:
Newborn, preventing heat loss
Question 4 of 5
To prevent heat loss from convection in a newborn, which action by the nurse is best?
Correct Answer: D
Rationale: Moving the infant away from a blowing fan directly prevents heat loss due to air movement, which is a key factor in convection.
Extract:
Student nurse learning about milk production
Question 5 of 5
The student nurse learns that the hormone necessary for milk production is
Correct Answer: B
Rationale: Prolactin, secreted by the pituitary gland, is responsible for milk production, especially after delivery when estrogen and progesterone levels drop.