ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is 2 days postpartum following a vaginal delivery and reports constipation
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: A third-degree perineal laceration involves the anal sphincter, making suppositories risky due to potential pain or disruption. Other findings don't contraindicate suppository use.
Extract:
A client who has hyperemesis gravidarum
Question 2 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: C
Rationale: Urine ketones detect ketosis from starvation due to severe vomiting in hyperemesis gravidarum. Rapid plasma reagin screens for syphilis, prothrombin time assesses clotting, and urine culture checks for infection, none specific to hyperemesis.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 3 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A client who is in labor and just received epidural anesthesia, blood pressure is 90/50 mm Hg
Question 4 of 5
A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client to her side improves blood flow, countering hypotension from epidural anesthesia. Amnioinfusion, monitoring alone, or naloxone don't address the immediate issue.
Extract:
A postpartum client who is experiencing uterine atony
Question 5 of 5
A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
Correct Answer: A,B,C,D
Rationale: Correct sequence: Position client (
A), place hands (
B), massage fundus (
C), observe bleeding (
D) to stimulate contractions and monitor hemorrhage.