ATI RN
ATI Maternal Newborn Moitoso 4T Exam Questions
Extract:
29-year-old G3P3003 with uncomplicated SVD at term, husband at bedside, older daughter meeting sibling; 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, on Magnesium Sulfate, baby in NICU; 31-year-old G3P2012 with uncomplicated SVD, history of depression, husband deployed; 16-year-old G1P1001 delivered via cesarean; 20-year-old G1P1001 with unmedicated SVD, boyfriend present
Question 1 of 5
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?
Correct Answer: B
Rationale: The 37-year-old with preeclampsia, preterm delivery, and a baby in the NICU faces significant stressors, including medical complications and separation from her newborn, increasing the risk of a difficult transition to motherhood.
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 2 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:
29-year-old G3P3003 with uncomplicated SVD at term, husband at bedside, older daughter meeting sibling; 37-year-old G3P1112 with worsening preeclampsia, induced at 34 weeks, on Magnesium Sulfate, baby in NICU; 31-year-old G3P2012 with uncomplicated SVD, history of depression, husband deployed; 16-year-old G1P1001 delivered via cesarean; 20-year-old G1P1001 with unmedicated SVD, boyfriend present
Question 3 of 5
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?
Correct Answer: B
Rationale: The 37-year-old with preeclampsia, preterm delivery, and a baby in the NICU faces significant stressors, including medical complications and separation from her newborn, increasing the risk of a difficult transition to motherhood.
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:
Student nurse reviewing milk production in pregnancy and postpartum
Question 5 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.