ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 1 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Emptying the bladder corrects uterine displacement, addressing the boggy fundus and excessive lochia.
Extract:
client, in labor, vaginal examination 3 cm, 30%, -1
Question 2 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: C
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part at -1 station (1 cm above the ischial spines), reflecting labor progress.
Extract:
newborn, immediate skin-to-skin contact
Question 3 of 5
Benefits of immediate skin to skin contact include (Select all that apply):
Correct Answer: C,D,E,F
Rationale: C, D, E, F: These are evidence-based benefits of skin-to-skin contact. A and B are incorrect as skin-to-skin promotes bonding and breastfeeding.
Extract:
patient, perinatal mood and anxiety disorder
Question 4 of 5
Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:
Correct Answer: D
Rationale: This statement reflects understanding that perinatal mood and anxiety disorders are common, not the patient’s fault, and treatable with support.
Extract:
patient, exclusive breastfeeding, latching concerns
Question 5 of 5
Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)
Correct Answer: A,B,E,F
Rationale: A: A lactation consultant provides expert guidance. B: Emotional support and partner involvement foster a supportive environment. E: Audible swallowing and comfort indicate effective latch. F: Proper positioning and latch techniques ensure successful breastfeeding. C and D are incorrect as they undermine exclusive breastfeeding and may cause discomfort.