ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is caring for 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: C
Rationale: Changing the perineal pad only once daily increases infection risk due to moisture buildup, delaying healing. Cleaning, approximation, and witch hazel support healing.
Extract:
A nurse is assessing a newborn who was born via a forceps-assisted birth.
Question 2 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: C
Rationale: Facial asymmetry can result from forceps pressure causing bruising or nerve injury. Other findings are unrelated to forceps use.
Extract:
A nurse is planning care for a client in the postpartum unit.
Question 3 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: During the taking-in phase, the focus is on maternal recovery, making adequate nutritional intake a key goal for healing and breastfeeding support.
Extract:
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 4 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: B
Rationale: Hypotension (88/40 mm Hg) indicates significant blood loss, a key sign of postpartum hemorrhage, especially after a large newborn delivery increasing uterine stretch risk.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a key action in the early postpartum period. Fluid bolus, restriction, and misoprostol are not indicated without severe features.