ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client 2 hr post-vaginal delivery, increasing perineal pain and pressure
Question 1 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure. The nurse examines the client's perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse should interpret these findings as which of the following?
Correct Answer: A
Rationale: A hematoma is indicated by localized purplish swelling, likely due to trauma during delivery.
Extract:
Question 2 of 5
A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Spending individual time with the older sibling helps them feel valued, reducing jealousy and fostering acceptance of the newborn.
Extract:
Newborn for PKU test
Question 3 of 5
A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge. The newborn's guardian asks the nurse what a positive PKU test would mean. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: PKU involves an inability to metabolize phenylalanine, an amino acid, which can lead to brain damage if untreated.
Extract:
Question 4 of 5
A nurse is providing client teaching regarding an intrauterine device (IUD). Which of the following statements should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Irregular spotting is common post-IUD placement, tampons should be avoided initially to prevent infection, and informed consent is required.
Extract:
Client with placenta previa, receiving fetal monitoring
Question 5 of 5
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: Painless vaginal bleeding is characteristic of placenta previa due to the placenta's location over the cervical os.