ATI RN
ATI Maternity Exam 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: Ambulation promotes lochia drainage, preventing vaginal pooling, and is appropriate given the normal fundal and lochia findings.
Extract:
A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'
Question 2 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Breast milk typically comes in 3-5 days post-delivery, driven by hormonal changes and suckling, aligning with normal lactation onset.
Extract:
A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Regular bladder emptying prevents distension, which could hinder labor progress, and reduces infection risk post-amniotomy.
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 4 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.
Extract:
A nurse is assisting in the care of a client who had a vaginal birth 2 hr ago.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B,C,E
Rationale: Observing lochia, documenting fundal height, and checking midline position assess postpartum recovery, ensuring no complications like hemorrhage.