Questions 44

ATI RN

ATI RN Test Bank

ATI Maternity Exam Questions

Extract:

A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.


Question 1 of 5

Which of the following recommendations should the nurse give the client?

Correct Answer: B

Rationale: Expressing milk relieves engorgement, a normal response at 3 days postpartum, maintaining supply and reducing discomfort.

Extract:

A nurse is assessing a client who is 8 hr postpartum and multiparous.


Question 2 of 5

Which of the following findings should alert the nurse to the client's need to urinate?

Correct Answer: B

Rationale: A fundus elevated above the umbilicus suggests bladder distension, which can impede uterine contraction and increase hemorrhage risk.

Extract:

A nurse is caring for a postpartum client who saturates a perineal pad in 10 min.


Question 3 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 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 4 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 group of clients on an intrapartum unit.


Question 5 of 5

Which of the following findings should be reported to the RN immediately?

Correct Answer: D

Rationale: Epigastric pain and headache in preeclampsia signal severe complications like impending eclampsia, requiring urgent intervention to prevent seizures.

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