ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Client 12 hr postpartum, fundus deviated to right, boggy, 2 cm above umbilicus
Question 1 of 5
A nurse is collecting data from a client who gave birth 12 hours ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: A deviated, boggy fundus suggests a full bladder preventing uterine contraction. Assisting the client to void is the first step to correct this and reduce bleeding risk before considering medications or invasive measures.
Extract:
Postpartum client
Question 2 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 a possible indicator of inhibition of parental attachment?
Correct Answer: C
Rationale: Expressing dissatisfaction with the newborn's appearance, such as wishing for more hair, may indicate difficulty accepting the baby, suggesting inhibition of attachment. Confidence in caregiving, requesting rest, or noting family resemblance are not typically signs of attachment issues.
Extract:
Question 3 of 5
The purpose of the Bishop's score is to:
Correct Answer: B
Rationale: The Bishop's score assesses cervical readiness for labor via dilation, effacement, station, consistency, and position, predicting induction success. It does not evaluate maternal or fetal well-being or labor progress.
Extract:
Newborn following delivery
Question 4 of 5
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery. The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: C
Rationale: Vitamin K prevents bleeding (hemorrhagic disease of the newborn) by aiding clotting factor synthesis, as newborns have low vitamin K levels. It does not prevent infection, hyperbilirubinemia, or potassium deficiency.
Extract:
Question 5 of 5
What are possible complications of prematurity in babies? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Prematurity increases risks of cerebral palsy (brain damage), learning disabilities (developmental delays), retinopathy (abnormal retinal blood vessels), and apnea (immature respiratory control). Color blindness is typically genetic, not related to prematurity.