ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
Client 3 hours postpartum after a vaginal delivery with a second-degree laceration
Question 1 of 5
The nurse is providing education to a client that is 3 hours postpartum after a vaginal delivery with a second-degree laceration. Which of the following actions should the nurse include in the perineal care teaching?
Correct Answer: A,D,E
Rationale: Hand washing prevents infection, a squeeze bottle gently cleanses the perineum, and ice packs reduce swelling, all promoting healing and comfort.
Extract:
Postpartum client with a distended bladder, unable to void after being assisted to the bathroom
Question 2 of 5
A nurse is caring for a postpartum client with a distended bladder. The client is assisted to the bathroom, but is unable to void. Which of the following interventions would be contraindicated?
Correct Answer: D
Rationale: Delaying intervention for a distended bladder risks complications like discomfort or hemorrhage, making waiting 2 hours contraindicated.
Extract:
Client who is breastfeeding with sore and cracking nipples
Question 3 of 5
A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A successful latch prevents nipple trauma, addressing the primary cause of soreness and cracking, and promotes healing.
Extract:
Postpartum unit with clients and assistive personnel (AP)
Question 4 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: D
Rationale: Providing a sitz bath is a comfort measure within the AP's scope, requiring no clinical judgment, unlike dressing changes, documentation, or assessments.
Extract:
Postpartum client who delivered yesterday, had a vaginal delivery with a fourth-degree laceration, complains of constipation
Question 5 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.