Questions 44

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ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

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


Question 1 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 is postpartum and asks, 'When will my breast milk come in?'


Question 2 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Breast milk typically comes in 3-5 days post-delivery, driven by hormonal changes and suckling, aligning with normal lactation onset.

Extract:

A nurse is caring for a client who is postpartum and is breastfeeding her infant.


Question 3 of 5

Which of the following findings indicates mastitis?

Correct Answer: D

Rationale: A red, painful area in one breast suggests mastitis, an infection causing localized inflammation, distinct from bilateral engorgement.

Extract:

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Checking the fundus first assesses for uterine atony, the most likely cause of excessive lochia, enabling immediate corrective action.

Extract:

A nurse is caring for a postpartum client following a vaginal birth of a newborn weighing 4252 g (9 lb 6 oz).


Question 5 of 5

The nurse should identify that this client is at risk for which of the following postpartum complications?

Correct Answer: B

Rationale: A large newborn can overstretch the uterus, increasing the risk of uterine atony, which may lead to postpartum hemorrhage if not managed.

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