ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth.
Question 1 of 5
Which of the following findings indicates the client's bladder is distended?
Correct Answer: D
Rationale: A distended bladder can displace the uterus, causing the fundus to deviate from the midline, interfering with uterine contraction and potentially leading to uterine atony and excessive bleeding.
Extract:
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rapid pad saturation suggests uterine atony; fundal massage promotes contraction to control bleeding.
Extract:
A nurse in the newborn nursery is caring for a group of newborns.
Question 3 of 5
Which of the following newborns requires immediate intervention?
Correct Answer: D
Rationale: Delayed meconium passage beyond 24 hours may indicate bowel obstruction, such as Hirschsprung's disease, requiring immediate evaluation.
Extract:
A nurse is caring for a client who is in the first stage of labor and is using pattern-paced breathing. The client says she feels lightheaded and her fingers are tingling.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lightheadedness and tingling indicate hyperventilation; breathing into a paper bag restores CO2 levels, correcting respiratory alkalosis.
Extract:
A nurse is caring for a client who is postpartum and is breastfeeding. The client states that she is concerned about dietary precautions since she has a family history of food allergies.
Question 5 of 5
Which of the following responses should the nurse offer?
Correct Answer: D
Rationale: Avoiding peanuts may reduce allergic sensitization in infants with a family history of food allergies.