ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who experienced a vaginal birth 20 hours ago, in the taking-in phase of maternal postpartum adjustment
Question 1 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.
Extract:
Client who is 4 weeks postpartum following the birth of a healthy newborn, reports feeling 'down and sad,' having no energy, and wanting to cry
Question 2 of 5
A nurse in a clinic is caring for a client who is 4 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down and sad,' having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Assessing for thoughts of harm is critical to identify risks of postpartum depression or psychosis, ensuring immediate safety for the client and newborn.
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:
Client who is 5 hours postpartum following a vaginal birth of twins
Question 4 of 5
A nurse is caring for a client who is 5 hours postpartum following a successful vaginal birth of twins. The nurse should recognize that this client is at increased risk for which of the following postpartum complications?
Correct Answer: C
Rationale: Uterine overdistension from twins increases the risk of uterine atony, leading to poor uterine contraction and potential postpartum hemorrhage.
Extract:
29-year-old G3P3003 with uncomplicated SVD at term, husband at bedside, older daughter meeting sibling; 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, on Magnesium Sulfate, baby in NICU; 31-year-old G3P2012 with uncomplicated SVD, history of depression, husband deployed; 16-year-old G1P1001 delivered via cesarean; 20-year-old G1P1001 with unmedicated SVD, boyfriend present
Question 5 of 5
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?
Correct Answer: B
Rationale: The 37-year-old with preeclampsia, preterm delivery, and a baby in the NICU faces significant stressors, including medical complications and separation from her newborn, increasing the risk of a difficult transition to motherhood.