ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is postpartum
Question 1 of 5
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as an indication of inhibition of parental attachment?
Correct Answer: A
Rationale: Expressing dissatisfaction with the newborn's appearance may suggest difficulty bonding, indicating inhibition of parental attachment.
Extract:
Newborn delivered by vaginal birth with vacuum assist, swollen area on head
Question 2 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, caused by delivery pressure, crosses suture lines and resolves quickly, unlike cephalhematoma.
Extract:
Woman gave birth 48 hours ago to a healthy infant girl, bottle feeding, breasts swollen, warm, and tender
Question 3 of 5
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which guidance should the nurse provide to the client at this time?
Correct Answer: D
Rationale: Ice application reduces swelling and discomfort from engorgement in a non-breastfeeding mother.
Extract:
Client 2 hr after spontaneous vaginal birth, saturated two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: A
Rationale: Assessing the fundus is the priority to check for uterine atony, a common cause of excessive postpartum bleeding.
Extract:
Newborn with secretions bubbling out of nose and mouth
Question 5 of 5
A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Suctioning the mouth first clears the airway, prioritizing effective breathing in the presence of secretions.