ATI RN
ATI Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A firm, midline fundus with lochia rubra and small clots is normal; documenting and monitoring are appropriate.
Question 2 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Caput succedaneum crosses suture lines and is caused by pressure during labor, fitting the described swelling.
Question 3 of 5
A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
Correct Answer: C
Rationale: A negative rubella titer indicates susceptibility, requiring postpartum immunization to protect future pregnancies.
Question 4 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: B
Rationale: A heart rate of 110/min is elevated and may indicate a postpartum complication such as hemorrhage, infection, or cardiovascular issues, requiring further assessment.
Question 5 of 5
A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU). Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: A low-protein diet limits phenylalanine intake, critical for managing PKU and preventing neurological damage.