ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client 1 day postpartum taking a sitz bath
Question 1 of 5
A nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. To determine the client's tolerance of the procedure, which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Monitoring pulse rate detects cardiovascular changes like hypotension from vasodilation during a sitz bath, prioritizing over bladder, breathing, or lochia.
Extract:
Client in labor with epidural anesthesia
Question 2 of 5
A nurse is caring for a client who is in labor and has an epidural for pain control. Which of the following clinical manifestations is an adverse effect of epidural anesthesia?
Correct Answer: C
Rationale: Pruritus is a common epidural side effect due to histamine release from anesthetics, unlike polyuria, hypertension, or dry mouth.
Extract:
Newborn at 1 hr of age
Question 3 of 5
A nurse is assessing a newborn at 1 hr of age. Which of the following assessments should the nurse complete first?
Correct Answer: A
Rationale: Chest auscultation ensures respiratory stability, critical immediately after birth, before Apgar (done at 1 and 5 minutes), weight, or length.
Extract:
Client postpartum with deep-vein thrombosis receiving heparin
Question 4 of 5
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Heparin is safely administered in the abdomen for absorption; aspirin increases bleeding risk, massaging causes trauma, and heparin is safe for breastfeeding.
Extract:
Client who gave birth 12 hr ago with excessive vaginal bleeding
Question 5 of 5
A nurse is assessing a client who gave birth 12 hr ago and is experiencing excessive vaginal bleeding. Which of the following findings indicates the client is experiencing decreased cardiac output?
Correct Answer: C
Rationale: Hypotension from blood loss indicates reduced cardiac output, unlike bradycardia, flushed face, or polyuria, which are unrelated or compensatory.