ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cool sitz bath reduces swelling and pain in a severe perineal laceration; methylergonovine is for uterine tone, not lacerations.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 2 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: Lateral deviation, large lochia rubra, and soft uterus suggest uterine atony and potential hemorrhage, requiring urgent intervention.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Evaluating urinary output assesses for hypovolemia from bleeding, a priority when fundal massage fails.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 4 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: Serum digoxin levels provide the most objective measure of adherence and therapeutic range in pregnancy.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Trichomoniasis typically causes a malodorous, frothy discharge, not thick white discharge, lesions, or urinary frequency alone.