ATI RN
ATI Maternal Newborn Care Exam 4A Questions
Extract:
A nurse is collecting data from a client who is postpartum.
Question 1 of 5
Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: D
Rationale: An elevated heart rate of 110/min may indicate infection or hemorrhage, requiring further assessment.
Extract:
A nurse is assisting with the care of a newborn following a vaginal delivery.
Question 2 of 5
Which of the following actions should the nurse perform first?
Correct Answer: C
Rationale: Clearing the respiratory tract ensures a patent airway, the first priority.
Extract:
The mother's temperature is slightly elevated 12 hours after delivery of the baby.
Question 3 of 5
The mother's temperature is slightly elevated 12 hours after delivery of the baby. What additional assessment would the nurse perform first?
Correct Answer: C
Rationale: Checking lochia for abnormal color or odor can indicate infection, a common cause of elevated temperature.
Extract:
The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream.
Question 4 of 5
A nurse is calculating a client's intake and output for an 8-hr shift. How many mL should the nurse document as the client's total intake for the shift?
Correct Answer: A
Rationale:
Total intake is calculated as: 1000 mL (IV) + 177 mL (6 oz coffee) + 177 mL (6 oz water) + 180 mL (soup) + 89 mL (3 oz gelatin) + 89 mL (3 oz ice cream) = 1712 mL.
Extract:
When the let down reflex occurs.
Question 5 of 5
When the let down reflex occurs, what action will the nurse perform?
Correct Answer: A
Rationale: The let-down reflex signals milk release; assisting with breastfeeding ensures effective feeding.