ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client who is breastfeeding with sore and cracking nipples
Question 1 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.
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:
Postpartum unit with clients and assistive personnel (AP)
Question 3 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 5 hours postpartum following a vaginal birth of twins
Question 4 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:
29-year-old G3P3003 with uncomplicated SVD at term, husband at bedside, older daughter meeting sibling; 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, on Magnesium Sulfate, baby in NICU; 31-year-old G3P2012 with uncomplicated SVD, history of depression, husband deployed; 16-year-old G1P1001 delivered via cesarean; 20-year-old G1P1001 with unmedicated SVD, boyfriend present
Question 5 of 5
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?
Correct Answer: B
Rationale: The 37-year-old with preeclampsia, preterm delivery, and a baby in the NICU faces significant stressors, including medical complications and separation from her newborn, increasing the risk of a difficult transition to motherhood.