ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Checking for blood under the buttock ensures no excessive bleeding or hematoma, as the small amount of lochia rubra and firm fundus are normal.
Extract:
A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 1.5 mg tablets.
Question 2 of 5
How many tablets should the nurse administer?
Correct Answer: 2
Rationale: 3 mg -->1.5 mg/tablet = 2 tablets.
Extract:
The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream.
Question 3 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: A
Rationale:
Total intake is calculated as: 1000 mL (IV) + 177 mL (6 oz coffee) + 177 mL (6 oz water) + 180 mL (soup) + 89 mL (3 oz gelatin) + 89 mL (3 oz ice cream) = 1712 mL.
Extract:
A nurse is preparing a sitz bath for a client who is 1 day postpartum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A water temperature of 40°C (104°F) is safe and effective for soothing the perineal area.
Extract:
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL.
Question 5 of 5
Th nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: B
Rationale: (1000 mL ÷ 480 min) × 15 gtt/mL = 31.25 gtt/min, rounded to 31 gtt/min.