ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Question 1 of 5
The RN has received a hand-off report. Which client does the RN need to see first?
Correct Answer: B
Rationale: Postpartum hemorrhage is life-threatening and requires immediate assessment to ensure stability.
Extract:
Mother who refused phytonadione (Mephyton) injection for her newborn.
Question 2 of 5
A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan. Which of the following signs or symptoms might the nurse observe in the baby as a result?
Correct Answer: D
Rationale: Phytonadione (vitamin K) deficiency can cause bleeding issues, like oozing at the circumcision site.
Extract:
New mother who received epidural anesthesia, forceps delivery, anxious and restless at 6 hours postpartum, with a large perineal hematoma and unable to urinate.
Question 3 of 5
A new mother received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours post-partum, the client is anxious and restless. On further assessment, a large perineal hematoma is seen. She is unable to urinate. After notifying the physician, the nurse should plan to:
Correct Answer: A
Rationale: A Foley catheter relieves urinary retention caused by the hematoma, aiding assessment.
Extract:
Client post-uncomplicated vaginal birth.
Question 4 of 5
The nurse is assessing the client's transition to the taking-hold phase after an uncomplicated vaginal birth. Which behavior by the mother best indicates this transition is occurring?
Correct Answer: C
Rationale: Interest in infant care indicates the taking-hold phase, focusing on the baby's needs.
Extract:
Postpartum client who delivered vaginally, saturated 6 perineal pads with bright red blood and small clots in one hour.
Question 5 of 5
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:
Correct Answer: A
Rationale: A macrosomic baby causes uterine overstretching, increasing the risk of postpartum hemorrhage.