ATI Rn Maternal Newborn Exam 2020 (Latest Questions and Answers) Active.pdf
ATI Rn Maternal Newborn Exam 2020 (Latest Questions and Answers) A
ATI MATERNAL-NEWBORN 2019 B
1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse
teach her about lochia flow?
a. The color of the lochia changes from a bright red to white after four
b. Numerous large clots are normal for the next three to four days
c. Saturation of the perineal pad with blood is expected when getting up from the
d. Lochia should last for about 3 weeks, changing color every few days
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to
lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum
Correct: Lochia normally lasts for about 21 days, and changes from a bright red,
topinkish brown, to creamy white.
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
a. The umbilical cord is wrapped tightly around the fetus' neck
b. The fetal cord is being compressed due to rapid descent of the fetal head
c. Maternal contractions are not adequate enough to deliver the
d The fetus is not receiving adequate oxygen and is in distres
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not
Incorrect: Variable decelerations (not late decelerations) are associated with cord
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength of
Correct: Late decelerations are associated with uteroplacental insufficiency and are a
signof fetal hypoxia. Repeted late ecleratons indicae fetal distress