ATI RN
ATI Maternal Final Exam Questions
Extract:
A client who is 3 days postoperative following a cesarean birth
Question 1 of 5
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B: Resuming prenatal vitamins supports recovery and breastfeeding. D: Unrelieved abdominal pain may indicate complications, requiring attention. E: Reporting incision discharge shows understanding of infection monitoring. A and C are incorrect as fever is not expected, and recliners may not support healing.
Extract:
A client 2 hr post-vaginal birth receiving lactated Ringer's with 25 units oxytocin, with large rubra lochia and BP 146/94 mm Hg
Question 2 of 5
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer's with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification?
Correct Answer: C
Rationale: Methylergonovine is contraindicated with hypertension (BP 146/94 mm Hg) due to risk of hypertensive crisis, requiring clarification.
Extract:
A client having a difficult, prolonged labor with severe backache
Question 3 of 5
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?
Correct Answer: D
Rationale: Persistent occiput posterior position causes prolonged labor and severe backache due to the fetal head's large diameter pressing against the maternal sacrum, increasing discomfort.
Extract:
A newborn whose mother is positive for the hepatitis B surface antigen
Question 4 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive?
Correct Answer: B
Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides passive and active immunity to prevent hepatitis B transmission from an HBsAg-positive mother.
Extract:
A client 8 hr post-vaginal birth with unrelieved episiotomy pain
Question 5 of 5
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying an ice pack reduces swelling and pain in the perineal area, effective for episiotomy discomfort in the early postpartum period.