Questions 69

ATI RN

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ATI Maternal Final Exam Questions

Extract:

A client who is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease


Question 1 of 5

A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?

Correct Answer: A

Rationale: Early ambulation reduces venous stasis and prevents thromboembolism in clients with a history of thromboembolic disease, unlike contraindicated actions like leg massage.

Extract:

A client who is pregnant and has phenylketonuria (PKU)


Question 2 of 5

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Correct Answer: A

Rationale: Peanut butter is high in phenylalanine, which PKU clients cannot metabolize, necessitating its elimination to prevent complications.

Extract:

A newborn following a vacuum-assisted delivery


Question 3 of 5

A nurse is assessing a newborn following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Poor sucking may indicate neurological issues or birth trauma from vacuum assistance, requiring provider evaluation, unlike expected findings like scalp edema or acrocyanosis.

Extract:

A client at 33 weeks of gestation with placenta previa


Question 4 of 5

A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action?

Correct Answer: A

Rationale: Monitoring vaginal bleeding is the priority in placenta previa to assess hemorrhage severity, ensuring maternal and fetal stability.

Extract:

A client 1 day postpartum following a vaginal delivery


Question 5 of 5

A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer: A,B,D,E

Rationale: A: Blotting dry prevents moisture buildup, reducing infection risk. B: Washing with warm water cleanses bacteria post-voiding. D: Hand hygiene prevents bacterial spread. E: Front-to-back cleaning avoids introducing anal bacteria. C is incorrect as ice packs aid comfort, not infection prevention.

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