ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is 12 hr postpartum
Question 1 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: D
Rationale: A heart rate of 128/min may indicate complications like hemorrhage or infection, requiring further assessment.
Extract:
Client reports unrelieved episiotomy pain 8 hr following a vaginal birth
Question 2 of 5
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An ice pack reduces swelling and pain in the perineum within the first 24 hours post-birth.
Extract:
Question 3 of 5
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
Correct Answer: B
Rationale: A nonpalpable fundus below the symphysis on day 14 indicates normal uterine involution as it returns to pre-pregnancy size.
Extract:
Newborn with uneven skinfolds on buttocks and clunk during Ortolani maneuver
Question 4 of 5
While examining a newborn, the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver. These findings are likely indicative of what?
Correct Answer: C
Rationale: Uneven skinfolds and a clunk during the Ortolani maneuver suggest hip dysplasia, indicating abnormal hip joint development.
Extract:
Question 5 of 5
Nurses play a critical role in educating parents regarding measures to prevent infant abduction. Which instructions contribute to infant safety and security?
Correct Answer: B
Rationale: Verifying questionable persons with a second staff member enhances security, reducing abduction risk.