ATI RN
ATI Maternal Newborn Assessment Questions
Extract:
A postpartum client who gave birth 8 hr ago and is saturating a perineal pad every hour
Question 1 of 5
A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: D
Rationale: Saturating a perineal pad every hour indicates potential postpartum hemorrhage, requiring immediate assessment.
Extract:
Parents of a newborn with an uncircumcised penis
Question 2 of 5
A nurse is teaching the parents of a newborn how to care for their child's uncircumcised penis. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Daily washing with soap and water is adequate for hygiene without forcibly retracting the foreskin.
Extract:
A client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections
Question 3 of 5
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Subcutaneous heparin injections are typically administered in the abdomen to facilitate absorption and minimize complications.
Extract:
A newborn who was born vaginally with vacuum extractor assistance, with swelling over the head that crosses the suture line
Question 4 of 5
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
Correct Answer: B
Rationale: Caput succedaneum is swelling of soft tissues crossing suture lines, caused by pressure during delivery, often with vacuum extraction.
Extract:
A client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding
Question 5 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 a soft or boggy fundus stimulates uterine contraction to reduce postpartum hemorrhage, making it the first action.