ATI
ATI MATERNAL
NEWBORN
GRADED A
100%
, ATI. MATERNAL-NEWBORN
1. Two days after delivery, a postpartum client prepares for discharge. What should
the nurse teach her about lochia flow?
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well-being by means of an external monitor. At the peak
of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below
the baseline. Late decelerations are suspected and the nurse notifies the physician.
Which is the rationale for this action? .
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is
scheduled to have an emergency cesarean birth?
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about postoperative care.
Alleviate anxiety and insert an indwelling catheter.
Perform a sterile vaginal examination and assess breath sounds.
, 4. Which nursing instruction should be given to the breastfeeding mother regarding
care of the breasts after discharge?
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
The breasts should be pumped if the baby is not sucking adequately.
The breasts should be washed with soap and water once per day.
5. A client in preterm labor is admitted to the hospital. Which classification of
drugs should the nurse anticipate administering?
Tocolytics
Anticonvulsants
Glucocorticoids
Anti-infective
6. Which of the following are probable signs, strongly indicating pregnancy?
Presence of fetal heart sounds and quickening
Missed menstrual periods, nausea, and vomiting
Hegar's sign, Chadwick's sign, and ballottement
Increased urination and tenderness of the breasts
7. Two hours after delivery the nurse assesses the client and documents that the
fundus is soft, boggy, above the level of the umbilicus, and displaced to the right
side. The nurse encourages the client to void. Which is the rationale for this
nursing action?
A full bladder prevents normal contractions of the uterus.
An overdistended bladder may press against the episiotomy causing dehiscence.
Distention of the bladder can cause urinary stasis and infection.
ATI MATERNAL
NEWBORN
GRADED A
100%
, ATI. MATERNAL-NEWBORN
1. Two days after delivery, a postpartum client prepares for discharge. What should
the nurse teach her about lochia flow?
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well-being by means of an external monitor. At the peak
of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min below
the baseline. Late decelerations are suspected and the nurse notifies the physician.
Which is the rationale for this action? .
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is
scheduled to have an emergency cesarean birth?
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about postoperative care.
Alleviate anxiety and insert an indwelling catheter.
Perform a sterile vaginal examination and assess breath sounds.
, 4. Which nursing instruction should be given to the breastfeeding mother regarding
care of the breasts after discharge?
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
The breasts should be pumped if the baby is not sucking adequately.
The breasts should be washed with soap and water once per day.
5. A client in preterm labor is admitted to the hospital. Which classification of
drugs should the nurse anticipate administering?
Tocolytics
Anticonvulsants
Glucocorticoids
Anti-infective
6. Which of the following are probable signs, strongly indicating pregnancy?
Presence of fetal heart sounds and quickening
Missed menstrual periods, nausea, and vomiting
Hegar's sign, Chadwick's sign, and ballottement
Increased urination and tenderness of the breasts
7. Two hours after delivery the nurse assesses the client and documents that the
fundus is soft, boggy, above the level of the umbilicus, and displaced to the right
side. The nurse encourages the client to void. Which is the rationale for this
nursing action?
A full bladder prevents normal contractions of the uterus.
An overdistended bladder may press against the episiotomy causing dehiscence.
Distention of the bladder can cause urinary stasis and infection.
