Questions 55

ATI RN

ATI RN Test Bank

ATI Maternity Nur230 Questions

Extract:

Patient in labor who has received epidural anesthesia


Question 1 of 5

A nurse is monitoring a patient in labor who has received epidural anesthesia for pain management. What should the nurse recognize as a potential complication from the epidural block?

Correct Answer: C

Rationale: Epidural anesthesia can cause vasodilation, leading to hypotension, a common complication requiring monitoring.

Extract:

Postpartum client with fundus displaced laterally to the right and uterine atony


Question 2 of 5

A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is found to be displaced laterally to the right, and there is uterine atony. Which of the following is the cause of the uterine atony?

Correct Answer: A

Rationale: Urinary retention can displace the uterus, preventing proper contraction and leading to uterine atony.

Extract:

Adolescent with spina bifida, paralyzed from the waist down


Question 3 of 5

A nurse is caring for an adolescent with spina bifida who is paralyzed from the waist down. Which of the following client statements should alert the nurse to the need for further education?

Correct Answer: A

Rationale: Catheterization every 3-4 hours is needed to prevent urinary tract infections, indicating a need for further education.

Extract:

Child who has recovered from an acute crisis episode of sickle cell anemia


Question 4 of 5

A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: Frequent fluid intake prevents dehydration, which can trigger sickle cell crises by increasing blood viscosity.

Extract:

Client who just delivered


Question 5 of 5

A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just delivered. What is the priority action by the nurse?

Correct Answer: C

Rationale: Skin-to-skin contact immediately post-delivery regulates newborn vitals and enhances bonding.

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