ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is 2 hours postpartum following a vaginal birth.
Question 1 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A fundus displaced to the right indicates bladder distension, which can push the uterus aside, unlike lochia amount, thirst, or contractions, which are unrelated.
Extract:
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are hard and warm to palpation.
Question 2 of 5
Which of the following interpretations of these findings should the nurse make?
Correct Answer: B
Rationale: The findings are normal for 3 days postpartum (involuting uterus, moderate lochia, engorged breasts), requiring no additional interventions, unlike mastitis, which includes fever, or the need for bra removal or heat.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has a suspected placenta previa.
Question 3 of 5
Which of the following findings support this diagnosis?
Correct Answer: C
Rationale: Painless red vaginal bleeding is characteristic of placenta previa, where the placenta covers the cervical os, unlike painful bleeding or mucus, which suggest other conditions.
Extract:
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment.
Question 4 of 5
Which of the following findings should the nurse expect during this phase?
Correct Answer: C
Rationale: Expressions of excitement are typical in the taking-in phase, where mothers process the birth experience, unlike learning skills, appetite changes, or family focus, which occur later.
Extract:
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella.
Question 5 of 5
Which of the following times should the nurse understand is recommended for rubella immunization?
Correct Answer: B
Rationale: Rubella immunization is recommended post-delivery to avoid risks to the fetus from the live virus vaccine, unlike during pregnancy or conception attempts.