ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assisting a client who is postpartum with her first breastfeeding experience. The client asks how much of the nipple she should put into the newborn's mouth.
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A proper latch includes the nipple and a portion of the areola, ensuring effective milk transfer and reducing nipple soreness.
Extract:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period.
Question 2 of 5
Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Excessive bleeding suggests uterine atony; palpating the fundus assesses uterine tone, guiding interventions to prevent hemorrhage.
Extract:
A nurse observes that a newborn has a pink trunk and head, bluish hands and feet, and flexed extremities 5 min after delivery. He has a weak and slow cry, a heart rate of 130/min, and cries in response to suctioning.
Question 3 of 5
The nurse should document what Apgar score for this infant?
Correct Answer: 9
Rationale: Apgar score: Color (1), Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (2) = 9.
Extract:
Question 4 of 5
Which information is important for a woman to understand before undergoing a scheduled tubal ligation?
Correct Answer: D
Rationale: Tubal ligation is a permanent contraception method; understanding its irreversibility is critical for informed consent.
Extract:
The nurse when assessing the client's perineum found erythematous lesions on the vulva that looks like herpes.
Question 5 of 5
The nurse anticipates the patient's treatment regimen to include which of the following:
Correct Answer: B
Rationale: Acyclovir is the standard antiviral treatment for genital herpes, reducing symptom severity and transmission risk.