ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client reports unrelieved episiotomy pain 8 hr following a vaginal birth
Question 1 of 5
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An ice pack reduces swelling and pain in the perineum within the first 24 hours post-birth.
Extract:
Client is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 2 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 experienced a vaginal delivery 16 hr ago
Question 3 of 5
A nurse is caring for a client who experienced a vaginal delivery 16 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: At 16 hours postpartum, the fundus is typically at the umbilicus level, descending daily thereafter.
Extract:
Client is 12 hr postpartum
Question 4 of 5
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: D
Rationale: A heart rate of 128/min may indicate complications like hemorrhage or infection, requiring further assessment.
Extract:
Newborn receiving hepatitis B virus (HBV) vaccine
Question 5 of 5
The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?
Correct Answer: B
Rationale: A 25-gauge, 5/8-inch needle is appropriate for intramuscular vaccine administration in newborns, typically in the vastus lateralis.