Questions 44

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ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Positioning the client laterally relieves vena cava pressure, improving maternal and fetal circulation to address hypotension promptly.

Extract:

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


Question 2 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 caring for a postpartum client who saturates a perineal pad in 10 min.


Question 3 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Fundal massage addresses uterine atony, the primary cause of rapid bleeding, stabilizing the client before further interventions.

Extract:

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


Question 4 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.

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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