Questions 46

ATI RN

ATI RN Test Bank

ATI Maternal Newborn Care Exam 4A Questions

Extract:

A nurse is caring for a client who is postpartum and asks about her newborn's hearing.


Question 1 of 5

Which of the following statements should the nurse make?

Correct Answer: D

Rationale: Routine hearing screenings are standard for newborns to detect hearing issues early.

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 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Checking for blood under the buttock ensures no excessive bleeding or hematoma, as the small amount of lochia rubra and firm fundus are normal.

Extract:

A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP).


Question 3 of 5

Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer: B

Rationale: Providing a sitz bath is a routine task that does not require clinical judgment and can be safely delegated to an AP. Checking vital signs for gestational hypertension, observing breast redness, and changing perineal pads involve assessments requiring nursing skills.

Extract:

A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'


Question 4 of 5

Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Breast milk typically comes in 3-5 days post-delivery during lactogenesis II.

Extract:

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


Question 5 of 5

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

Correct Answer: D

Rationale: Oxytocin promotes uterine contractions; a firm fundus indicates its effectiveness in preventing hemorrhage.

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