ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections.
Question 1 of 5
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The abdomen is the preferred site for subcutaneous heparin injections due to its fatty tissue, which minimizes risks of intramuscular bleeding and ensures consistent drug absorption.
Extract:
Four postpartum clients: 1 day ago needs Rh(D) immune globulin, 3 days ago reports breast fullness, 12 hours ago reports increased urinary output, 8 hours ago saturating a perineal pad every hour.
Question 2 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a perineal pad every hour 8 hours postpartum indicates heavy vaginal bleeding, potentially signifying postpartum hemorrhage, a life-threatening condition requiring immediate evaluation and intervention.
Extract:
Client experiencing preterm labor with a new prescription for terbutaline.
Question 3 of 5
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?
Correct Answer: A
Rationale: Terbutaline is contraindicated in heart disease because it can cause tachycardia and arrhythmias, worsening cardiac conditions. Cardiovascular side effects result from its beta-adrenergic agonist action.
Extract:
Client has been pushing for 2.5 hours with minimal progress, fetal head remains at +2 station.
Question 4 of 5
A nurse in the labor and delivery triage unit assesses a client who has been pushing for 2.5 hours with minimal progress. The fetal head remains at +2 station. Which of the following is the most appropriate next action?
Correct Answer: B
Rationale: Notifying the primary health care provider about minimal progress is the most appropriate next action. The client has been pushing for 2.5 hours with minimal progress, which raises concern for potential complications such as cephalopelvic disproportion or maternal exhaustion.
Extract:
Client who is breastfeeding and has mastitis.
Question 5 of 5
A nurse is planning care for a client who is breastfeeding and has mastitis. Which of the following interventions should the nurse include?
Correct Answer: A,B,D
Rationale: Handwashing (
A) minimizes pathogen transmission. Proper latching techniques (
B) reduce nipple trauma and facilitate milk drainage. Allowing nipples to air dry (
D) promotes healing and reduces infection risk.