Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is caring for a client who is postpartum.


Question 1 of 5

Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer: A

Rationale: Rh-negative mothers with Rh-positive newborns require Rho(
D) immune globulin to prevent sensitization and protect future pregnancies.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30-min period.


Question 2 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Checking the fundus identifies uterine atony, the primary cause of postpartum hemorrhage, allowing immediate intervention like massage to control bleeding.

Extract:

A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.


Question 3 of 5

Which of the following statements should the nurse include?

Correct Answer: C

Rationale: A surge of energy, or nesting instinct, is a common pre-labor sign due to hormonal shifts, preparing the client for labor.

Extract:

A nurse is collecting data from a postpartum client and notes the client's fundus is boggy and displaced to the right.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Voiding addresses bladder distension, which causes fundal displacement, and fundal massage corrects bogginess to prevent bleeding.

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 5 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.

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