ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client 2 hr after spontaneous vaginal birth, saturated two perineal pads in 30 min
Question 1 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: A
Rationale: Assessing the fundus is the priority to check for uterine atony, a common cause of excessive postpartum bleeding.
Extract:
Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml
Question 2 of 5
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?
Correct Answer: D
Rationale: Elevated heart rate and low blood pressure with significant blood loss suggest hypovolemic shock, requiring immediate intervention.
Extract:
Client is 12 hr postpartum
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: D
Rationale: A heart rate of 128/min may indicate complications like hemorrhage or infection, requiring further assessment.
Extract:
Newborn immediately following birth
Question 4 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Hepatitis B vaccine, vitamin K injection, and antibiotic eye ointment are standard to prevent infections and bleeding disorders in newborns.
Extract:
Question 5 of 5
Nurses play a critical role in educating parents regarding measures to prevent infant abduction. Which instructions contribute to infant safety and security?
Correct Answer: B
Rationale: Verifying questionable persons with a second staff member enhances security, reducing abduction risk.