ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who is 6 hours postpartum with a light amount of lochia rubra on the perineal pad, fundus midline and firm at the umbilicus
Question 1 of 5
A nurse is caring for a client who is 6 hours postpartum and observes a light amount of lochia rubra 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: C
Rationale: A light amount of lochia rubra and a firm, midline fundus are normal findings at 6 hours postpartum, requiring only documentation and continued monitoring.
Extract:
Postpartum client, 2 days after birth, with temperature 99.0°F, respiratory rate 18/min, WBC 22,000/mm³, urinary retention
Question 2 of 5
A nurse is caring for a postpartum client, 2 days after birth. Which of the following expected findings does the nurse associate with the cardiovascular system changes in the postpartum period?
Correct Answer: C
Rationale: Elevated WBC count (22,000/mm³) is a normal postpartum response to childbirth stress, associated with cardiovascular system changes.
Extract:
Client delivered 6 hours ago via SVD with a second degree laceration, pushed for three hours, has swollen perineum and inflamed hemorrhoids, perineal discomfort rated 6/10
Question 3 of 5
The nurse is caring for a patient that delivered 6 hours ago. She had a spontaneous vaginal delivery (SVD) with a second degree laceration that was repaired. She pushed for three hours and has swollen perineum and inflamed hemorrhoids. The patient complains of overall perineal discomfort and rates it a 6/10 on the pain scale. Which of the following interventions would the nurse include in the client's plan of care for pain management?
Correct Answer: A,B,C,D
Rationale: Warm compresses, Tucks pads, Dermaplast spray, and ibuprofen reduce swelling, soothe irritation, numb pain, and decrease inflammation, respectively, for effective perineal pain management.
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 breastfeeding with sore and cracking nipples
Question 5 of 5
A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A successful latch prevents nipple trauma, addressing the primary cause of soreness and cracking, and promotes healing.