ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A client at risk for postpartum hemorrhage
Question 1 of 5
A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?
Correct Answer: B
Rationale: Retained placental fragments prevent uterine contraction, leading to hemorrhage. Hypertension, oligohydramnios, and meconium do not directly cause postpartum bleeding.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 2 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Magnesium sulfate prevents seizures in preeclampsia by stabilizing neuromuscular activity. It does not directly affect fetal heart rate, cardiac output, or perfusion.
Extract:
A client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: MRSA requires contact precautions to prevent spread via contaminated surfaces or hands. Droplet, airborne, and protective environments are inappropriate.
Extract:
A 5-day-old male newborn at home
Question 4 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: A
Rationale: Urine output less than six times daily signals dehydration, requiring pediatrician notification. Antibiotic ointment, tight swaddling, and foreskin retraction are incorrect.
Extract:
A postpartum client
Question 5 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: Midline episiotomy increases infection risk due to perineal incision. Meconium, hypertension, and previa do not directly elevate postpartum infection risk.