ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client 2 hr after vaginal birth with saturated pads
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: C
Rationale: Oxytocic medication (oxytocin) stops excessive bleeding by promoting uterine contractions, addressing hemorrhage urgently, before palpation, voiding, or fluids.
Extract:
Circumcised newborn
Question 2 of 5
A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes?
Correct Answer: A
Rationale: Petroleum jelly prevents diaper adherence, promoting healing, unlike towelettes (irritating), povidone-iodine (harsh), or silver sulfadiazine (for burns).
Extract:
Four postpartum clients
Question 3 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a pad hourly suggests postpartum hemorrhage, requiring immediate assessment to prevent life-threatening blood loss.
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 4 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
Newborn with hyperbilirubinemia and phototherapy prescription
Question 5 of 5
A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Repositioning every 2-3 hours ensures even light exposure, maximizing phototherapy's bilirubin reduction, unlike less frequent temperature checks or inappropriate lotion/glucose.