ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Postpartum client with large amount of lochia rubra with several clots on perineal pad
Question 1 of 5
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?
Correct Answer: Checking the fundus is the priority to assess for uterine atony, a common cause of excessive lochia and clots. Massaging a soft fundus can promote contraction and reduce bleeding.
Rationale:
Extract:
Client in labor receiving epidural anesthesia
Question 2 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: Early epidural administration can interfere with labor hormones, slowing contractions and prolonging labor. It does not delay membrane rupture, cause hypertension, or depress the fetus.
Rationale:
Extract:
Client at 39 weeks of gestation with heavy vaginal bleeding
Question 3 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 who is at 39 weeks of gestation
Question 4 of 5
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: A surge of energy, or nesting instinct, is a common sign of impending labor. Weight gain, decreased discharge, or urinary retention are not typical precursors to labor.
Rationale:
Extract:
Client with unrelieved episiotomy pain 8 hr following delivery
Question 5 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?
Correct Answer: Applying an ice pack reduces swelling and pain at the episiotomy site within the first 24-48 hours. Warm sitz baths or heat are not recommended until later to avoid increasing swelling.
Rationale: