ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who is 18 hours postpartum with heart rate 125 bpm, fundus palpable at the umbilicus, urine output of 3,000 mL in 24 hr, orthostatic hypotension
Question 1 of 5
A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?
Correct Answer: A
Rationale: A heart rate of 125 bpm indicates tachycardia, which may suggest complications like infection or hemorrhage, necessitating further assessment.
Extract:
Client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta
Question 2 of 5
A nurse is caring for a client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta. Which of the following findings indicates that the medication was effective?
Correct Answer: D
Rationale: A firm fundus indicates effective uterine contractions, the desired outcome of oxytocin administration to prevent postpartum hemorrhage.
Extract:
Client who is breastfeeding
Question 3 of 5
A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?
Correct Answer: C
Rationale: Breastfeeding mothers need an additional 450-500 kCal per day to support milk production and maintain energy levels, ensuring a balanced diet to meet nutritional demands.
Extract:
Postpartum unit with clients and assistive personnel (AP)
Question 4 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: D
Rationale: Providing a sitz bath is a comfort measure within the AP's scope, requiring no clinical judgment, unlike dressing changes, documentation, or assessments.
Extract:
Client who is 3 days postpartum and breastfeeding, fundus three fingerbreadths below the umbilicus, light lochia rubra, breasts full and warm without redness or pain
Question 5 of 5
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is light, and the breasts are full and warm to palpation, without evidence of redness or pain. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: These findings are normal for 3 days postpartum, indicating proper uterine involution, normal lochia progression, and healthy milk production without signs of mastitis.