ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Postpartum client with headache not relieved by hydration, rest or OTC medication, brownish red or pink lochia at 7 days, chills and fever greater than 100.4 F, thoughts of harming self or infant, increased urinary output, redness, pain or tenderness in calf
Question 1 of 5
A nurse is providing discharge teaching to a postpartum client. The nurse emphasizes indications of potential complications and what to report to their provider. Which of the following findings should the nurse teach the client as a sign of a complication and requires further evaluation by a healthcare provider?
Correct Answer: A,C,D,F
Rationale: Headache unrelieved by usual measures may indicate preeclampsia; fever suggests infection; thoughts of harm signal postpartum depression or psychosis; calf symptoms suggest deep vein thrombosis, all requiring urgent evaluation.
Extract:
Student nurse reviewing milk production in pregnancy and postpartum
Question 2 of 5
A student nurse is reviewing the process of milk production in pregnancy and postpartum. Which of the following is the process of lactation maintenance and is reliant on breast stimulation and milk removal?
Correct Answer: A
Rationale: Galactopoiesis is the maintenance of lactation through ongoing breast stimulation and milk removal, driven by infant demand.
Extract:
Postpartum client who delivered yesterday, had a vaginal delivery with a fourth-degree laceration, complains of constipation
Question 3 of 5
A nurse is caring for a postpartum client, who delivered yesterday and complains of constipation. She had a vaginal delivery complicated by a fourth degree laceration, which was repaired. Based upon this information, which of the following is contraindicated?
Correct Answer: D
Rationale: Rectal suppositories risk trauma and infection to the repaired fourth-degree laceration, making them contraindicated.
Extract:
Client who is 3 days postpartum and breastfeeding, fundus three fingerbreadths below the umbilicus, light lochia rubra, breasts full and warm without redness or pain
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is light, and the breasts are full and warm to palpation, without evidence of redness or pain. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale: These findings are normal for 3 days postpartum, indicating proper uterine involution, normal lochia progression, and healthy milk production without signs of mastitis.
Extract:
Postpartum client, 2 days after birth, with temperature 99.0°F, respiratory rate 18/min, WBC 22,000/mm³, urinary retention
Question 5 of 5
A nurse is caring for a postpartum client, 2 days after birth. Which of the following expected findings does the nurse associate with the cardiovascular system changes in the postpartum period?
Correct Answer: C
Rationale: Elevated WBC count (22,000/mm³) is a normal postpartum response to childbirth stress, associated with cardiovascular system changes.