ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is postpartum and has a perineal laceration.
Question 1 of 5
Which of the following findings places the client at risk for delayed wound healing?
Correct Answer: A
Rationale: Changing the perineal pad only once daily increases infection risk due to prolonged exposure to moisture and bacteria, delaying healing, unlike the other options, which support healing.
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 2 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: Using Nägele’s rule: June 21 - 3 months = March 21, + 7 days = March 28, + 1 year = March 28 next year, correctly estimating the delivery date.
Extract:
A client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 3 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a key sign of postpartum hemorrhage due to significant blood loss, especially after delivering a large newborn, which increases risk. The other findings are within normal postpartum ranges.
Extract:
A client in the postpartum unit.
Question 4 of 5
Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
Correct Answer: D
Rationale: Adequate nutritional intake supports the mother's recovery during the taking-in phase, focused on her needs, unlike the other goals, which align with the taking-hold phase.
Extract:
A newborn immediately following birth.
Question 5 of 5
How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.
| Finding | Unrelated to diagnosis | Indication client's condition is improving | Indication client's condition is worsening |
|---|---|---|---|
| Color: Consistent with genetic background - Unrelated | |||
| Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving | |||
| Muscle tone: flaccid - Worsening | |||
| Respiration effort: good cry - Improving | |||
| Heart rate 140/min - Improving |
Correct Answer: A,B,C,D,E
Rationale: A: Color consistent with genetic background is unrelated to initial findings, suggesting normal adjustment. B: Normal temperature and cry indicate improvement. C: Flaccid tone suggests worsening, possibly neurological. D: Good cry shows respiratory improvement. E: Normal heart rate (140/min) indicates cardiovascular stability.