Questions 26

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Moitoso 4T Exam Questions

Extract:

Client who is 5 hours postpartum following a vaginal birth of twins


Question 1 of 5

A nurse is caring for a client who is 5 hours postpartum following a successful vaginal birth of twins. The nurse should recognize that this client is at increased risk for which of the following postpartum complications?

Correct Answer: C

Rationale: Uterine overdistension from twins increases the risk of uterine atony, leading to poor uterine contraction and potential postpartum hemorrhage.

Extract:

Postpartum client with a distended bladder, unable to void after being assisted to the bathroom


Question 2 of 5

A nurse is caring for a postpartum client with a distended bladder. The client is assisted to the bathroom, but is unable to void. Which of the following interventions would be contraindicated?

Correct Answer: D

Rationale: Delaying intervention for a distended bladder risks complications like discomfort or hemorrhage, making waiting 2 hours contraindicated.

Extract:

Client who is 5 hours postpartum following a vaginal birth of twins


Question 3 of 5

A nurse is caring for a client who is 5 hours postpartum following a successful vaginal birth of twins. The nurse should recognize that this client is at increased risk for which of the following postpartum complications?

Correct Answer: C

Rationale: Uterine overdistension from twins increases the risk of uterine atony, leading to poor uterine contraction and potential postpartum hemorrhage.

Extract:

Client who experienced a vaginal birth 20 hours ago, in the taking-in phase of maternal postpartum adjustment


Question 4 of 5

A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?

Correct Answer: C

Rationale: During the taking-in phase, mothers often focus on processing their birth experience, commonly discussing labor and delivery events to integrate the experience.

Extract:

Client who is 3 days postpartum and attempting to breastfeed with swelling in both breasts, white patch on a nipple, cracked and bleeding nipples, red and painful area in one breast


Question 5 of 5

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Correct Answer: D

Rationale: A red and painful area in one breast is a hallmark of mastitis, often accompanied by systemic symptoms like fever, indicating localized infection.

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