ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is postpartum with boggy fundus displaced to the right
Question 1 of 5
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: D
Rationale: A boggy, displaced fundus suggests a full bladder, which can be alleviated by voiding to promote uterine contraction.
Extract:
Newborn placed under radiant heat warmer after birth
Question 2 of 5
A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?
Correct Answer: C
Rationale: A radiant heat warmer prevents cold stress by maintaining the newborn's body temperature, which is critical for thermoregulation.
Extract:
Client is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 3 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: C
Rationale: Ambulation promotes circulation and prevents venous stasis, reducing the risk of thromboembolism in a client with a history of this condition.
Extract:
Client is 3 days postoperative following a cesarean birth
Question 4 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed?
Correct Answer: A
Rationale: A fever in the first week post-cesarean is not expected and may indicate infection, requiring further teaching.
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.