ATI RN
ATI Maternal Newborn Quiz Questions
Extract:
Patient is G6P5, currently 39 weeks pregnant with twins, AFI is 30cm (polyhydramnios), complaining of pain related to contractions 5 minutes apart, membranes intact, vaginal exam 5/100/0, with large uterine fibroids, history of preterm labor, chlamydia positive.
Question 1 of 5
The nurse should recognize that the client is at risk of due to
Correct Answer: B
Rationale: Polyhydramnios and multiple gestation cause uterine overdistension, increasing the risk of postpartum hemorrhage due to uterine atony.
Extract:
A client who is two days postpartum and has a fourth degree perineal laceration.
Question 2 of 5
A nurse is reviewing the prescribed orders for a client who is two days postpartum and has a fourth degree perineal laceration. Which of these orders should the nurse question?
Correct Answer: D
Rationale: Enemas are contraindicated with fourth-degree lacerations due to risk of trauma and pain; stool softeners are preferred.
Extract:
Prenatal clients about the benefits of skin to skin.
Question 3 of 5
The nurse is teaching prenatal clients about the benefits of skin to skin. Which statement made is correct?
Correct Answer: D
Rationale: Skin-to-skin promotes bonding, milk production, and stress reduction, benefiting both mother and baby.
Extract:
A client who gave birth 2 days ago, with respirations 26 breaths/min and labored, complaining of chest pain and shortness of breath.
Question 4 of 5
A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse-midwife to her concern that the client may be experiencing:
Correct Answer: A
Rationale: Symptoms of tachypnea, chest pain, and dyspnea with clear lung sounds suggest pulmonary embolism, a life-threatening postpartum complication.
Extract:
A mother bonding with her new baby.
Question 5 of 5
The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase/postpartum adjustment?
Correct Answer: B
Rationale: In the taking-in phase, mothers focus on reliving the birth experience, processing labor before focusing on the newborn.