ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Postpartum client who saturates a perineal pad in 10 min
Question 1 of 5
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first?
Correct Answer: Massaging the fundus is the priority to address potential uterine atony, the most common cause of postpartum hemorrhage, by promoting uterine contraction to reduce bleeding.
Rationale:
Extract:
Client following a cesarean birth, reports being hungry
Question 2 of 5
A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry. Which of the following actions should the nurse take first?
Correct Answer: Auscultating the abdomen for bowel sounds is the priority to confirm the return of peristalsis post-cesarean, ensuring the client can tolerate oral intake without complications.
Rationale:
Extract:
Client with preeclampsia reporting epigastric pain and unresolved headache
Question 3 of 5
A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the RN immediately?
Correct Answer: Epigastric pain and unresolved headache in preeclampsia indicate severe disease, potentially progressing to eclampsia, requiring immediate reporting. The other findings are less urgent or expected.
Rationale:
Extract:
Client who is 3 days postpartum, breastfeeding, fundus three fingerbreadths below the umbilicus, moderate lochia rubra, breasts hard and warm
Question 4 of 5
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm. Which of the following recommendations should the nurse give the client?
Correct Answer: Hard, warm breasts indicate engorgement. Expressing milk relieves pressure, reduces discomfort, and prevents mastitis. Heat, nipple shields, or antibiotics are not appropriate unless infection is present.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 5 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale: