ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is planning care for a patient who is 12 hours postpartum and has a third-degree perineal laceration.
Question 1 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Witch hazel pads reduce inflammation and promote healing, suitable for a third-degree laceration postpartum.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 2 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A 32-year-old female 3 days postpartum via cesarean, reports chills, warm skin, 3+ edema, large lochia rubra, pain 5/10, temp 38.3°C, HR 110/min, BP 140/90.
Question 3 of 5
Which of the following findings require immediate follow-up? (Select all that apply)
Correct Answer: A, B, D, E, G
Rationale: Temp 38.3°C, HR 110/min, BP 140/90, large lochia rubra, and 3+ edema indicate infection, hemorrhage, or DVT, requiring urgent follow-up.
Extract:
A nurse is caring for a client who is in labor.
Question 4 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 5 of 5
What actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a critical step in managing this condition postpartum.