ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client who is 3 days postpartum, breastfeeding, fundus three fingerbreadths below the umbilicus, moderate lochia rubra, breasts hard and warm
Question 1 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 at 39 weeks of gestation with heavy vaginal bleeding
Question 2 of 5
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: Heavy vaginal bleeding at 39 weeks suggests conditions like placental abruption or placenta previa, necessitating preparation for a cesarean birth to ensure maternal and fetal safety.
Rationale:
Extract:
Client in active labor with late decelerations on fetal monitor tracing
Question 3 of 5
The nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
Correct Answer: Positioning the client on her side is the first action to take as it reduces compression of the inferior vena cava and aorta, improving maternal and fetal circulation. This addresses the uteroplacental insufficiency causing late decelerations, which indicate fetal hypoxia.
Rationale:
Extract:
Client who is postpartum
Question 4 of 5
A nurse is collecting data from a client who is postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: A temperature of 100.4°F for two days suggests a possible infection, such as endometritis, requiring immediate attention. The other findings are normal or expected postpartum.
Rationale:
Extract:
Postpartum client who saturates a perineal pad in 10 min
Question 5 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: