ATI RN
Maternal Newborn ATI Assessment Focused Review Questions
Extract:
Client at 34 weeks of gestation scheduled for a nonstress test
Question 1 of 5
A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?
Correct Answer: B
Rationale: A nonstress test, taking about 30 minutes, monitors fetal heart rate response to movement, requiring no medication, fasting, or lung maturity assessment.
Extract:
Client who gave birth 4 hr ago with excessive vaginal bleeding
Question 2 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: Massaging the fundus addresses uterine atony, the primary cause of postpartum hemorrhage, promoting contractions to control bleeding.
Extract:
Client who had a vaginal birth 2 hr ago and soaked two perineal pads in 30 min
Question 3 of 5
A nurse is caring for a client who had a vaginal birth 2 hr ago and has soaked two perineal pads in the past 30 min. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing uterine tone identifies atony, a likely cause of excessive bleeding, guiding urgent interventions like fundal massage.
Extract:
Client 3 weeks postpartum feeling down and sad
Question 4 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: B
Rationale: Asking about harm to the newborn ensures safety, critical in suspected postpartum depression, before coping skills, medication, or teaching.
Extract:
Client 2 hr after vaginal birth with saturated pads
Question 5 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Oxytocic medication (oxytocin) stops excessive bleeding by promoting uterine contractions, addressing hemorrhage urgently, before palpation, voiding, or fluids.