Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Auscultating the abdomen first confirms bowel function return, ensuring safe oral intake post-surgery to prevent nausea or complications.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-min period.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Checking the fundus identifies uterine atony, the primary cause of postpartum hemorrhage, allowing immediate intervention like massage to control bleeding.

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 3 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 collecting data from a client who is 24 hr postpartum.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: A firm fundus 1 fingerbreadth below the umbilicus at 24 hours indicates normal involution, supporting uterine recovery.

Extract:

A nurse is collecting data from a postpartum client and notes the client's fundus is boggy and displaced to the right.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Voiding addresses bladder distension, which causes fundal displacement, and fundal massage corrects bogginess to prevent bleeding.

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