ATI RN
ATI Nur 232 Maternity Final Exam SP24 Questions
Extract:
A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.
Question 1 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: A saturated perineal pad in 30 minutes indicates potential postpartum hemorrhage, a life-threatening condition requiring immediate attention.
Extract:
The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn's scalp that does not cross the suture lines.
Question 2 of 5
How should the nurse document this finding?
Correct Answer: C
Rationale: Cephalohematoma is a collection of blood under the scalp that does not cross suture lines, caused by trauma during delivery.
Extract:
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down', sad, having no energy, and wanting to cry.
Question 3 of 5
Which of the following is a priority action by the nurse?
Correct Answer: C
Rationale: Asking if the client has considered harming her newborn is the priority to assess for postpartum depression and ensure the safety of the newborn and mother.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago.
Question 4 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: The uterine fundus is expected to be at the level of the umbilicus 12 hours post-delivery, indicating normal uterine involution.
Extract:
A newborn tests positive for the hepatitis B surface antigen.
Question 5 of 5
Which of the following should the nurse administer?
Correct Answer: B
Rationale: Administering hepatitis B immune globulin and vaccine within 12 hours of birth provides immediate and long-term protection for a newborn testing positive for hepatitis B surface antigen.