Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery.


Question 1 of 5

Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

Correct Answer: A

Rationale: Fundal consistency indicates oxytocin's success in maintaining uterine tone, critical for reducing bleeding post-delivery.

Extract:

A nurse is assisting with the care of a client who is multigravid and in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at +1 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push.


Question 2 of 5

Which of the following is the appropriate nursing response?

Correct Answer: A

Rationale: Panting prevents premature pushing, reducing risks of cervical edema or lacerations until full dilation is confirmed.

Extract:

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Ambulation promotes lochia drainage, preventing vaginal pooling, and is appropriate given the normal fundal and lochia findings.

Extract:

A nurse is collecting data from a client who gave birth one week ago.


Question 4 of 5

Which of the following findings should the nurse identify as a manifestation of endometritis?

Correct Answer: B

Rationale: Pelvic pain signals endometritis, an infection of the uterine lining, distinct from normal postpartum discharge or unrelated symptoms.

Extract:

A nurse is reinforcing teaching about reducing the risk of perineal infection with a client who had a vaginal birth.


Question 5 of 5

Which of the following information should the nurse include in the teaching?

Correct Answer: C,D,E

Rationale: Hand hygiene, blotting dry, and front-to-back cleaning prevent bacterial contamination, reducing infection risk post-vaginal birth.

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