ATI RN
ATI Maternity Exam 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: B
Rationale: A temperature of 100.4 F for two days indicates a possible infection, such as endometritis or mastitis, requiring further evaluation to prevent complications.
Extract:
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Fundal massage addresses uterine atony, the primary cause of rapid bleeding, stabilizing the client before further interventions.
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 3 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 caring for a client who has unrelieved episiotomy pain 8 hr following delivery.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: An ice pack reduces inflammation and numbs pain by causing vasoconstriction, effective for episiotomy discomfort within the first 24 hours post-delivery.
Extract:
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes breasts soft, fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88/min, respiratory rate 18/min.
Question 5 of 5
Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: A deviated fundus suggests bladder distension, which can impede uterine involution; voiding corrects this and reduces hemorrhage risk.