Questions 44

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ATI Maternity Exam Questions

Extract:

A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery.


Question 1 of 5

The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?

Correct Answer: C

Rationale: The fundus at the umbilicus 12 hours postpartum indicates normal involution, descending approximately one fingerbreadth daily thereafter.

Extract:

A nurse is preparing to administer dinoprostone gel to a client who is pregnant. The client asks the nurse about the purpose of the medication.


Question 2 of 5

Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Dinoprostone primarily ripens the cervix, softening and dilating it to facilitate labor, rather than directly inducing contractions.

Extract:

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery.


Question 3 of 5

Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

Correct Answer: A

Rationale: Fundal consistency indicates oxytocin's success in maintaining uterine tone, critical for reducing bleeding post-delivery.

Extract:

A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago.


Question 4 of 5

The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?

Correct Answer: A

Rationale: Precipitous birth increases uterine atony risk, impairing contraction and leading to potential postpartum hemorrhage.

Extract:

A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: An ice pack reduces inflammation and numbs pain by causing vasoconstriction, effective for episiotomy discomfort within the first 24 hours post-delivery.

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