Questions 44

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ATI Maternity Exam Questions

Extract:

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes breasts soft, fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min.


Question 1 of 5

Which of the following actions should the nurse perform?

Correct Answer: C

Rationale: A deviated fundus suggests bladder distension, which can impede uterine involution; voiding corrects this and reduces hemorrhage risk.

Extract:

A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR.


Question 2 of 5

The nurse should identify which of the following as a cause of variable decelerations?

Correct Answer: D

Rationale: Umbilical cord compression causes variable decelerations, characterized by abrupt FHR drops, indicating reduced fetal oxygenation.

Extract:

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing.


Question 3 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Lateral positioning improves placental perfusion, addressing uteroplacental insufficiency indicated by late decelerations, prioritizing fetal oxygenation.

Extract:

A nurse is caring for a client who is 1 day postpartum following a cesarean birth.


Question 4 of 5

To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?

Correct Answer: B

Rationale: Ambulation enhances venous return, reducing stasis and the risk of thrombophlebitis post-cesarean, supporting recovery.

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 5 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.

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