Maternity exam 3 – ATI Questions And
Answers With Verified Solutions Graded
A+ Latest Update 2025.
Postpartum Physiological Adaptations - ANSWER
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes perineal
pad for lochia. She notes pad to be saturated approximately 12 cm with lochia that is bright red and
contains small clots. Which of the findings should the nurse document? - ANSWER Moderate
lochia rubra
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon
stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which
of the following findings should the nurse interpret this data as being? - ANSWER A normal
postural discharge of lochia
A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and
was given varicella vaccine. Which of the following statements by the client indicates understanding of
the teaching? - ANSWER "I need a second vaccination at my postpartum visit"
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted
to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the
following conditions as the cause of the uterine atony? - ANSWER Urinary retention
A nurse is caring for a client who is 1 hour postpartum following a vaginal birth and experiencing
uncontrollable shaking. The nurse should understand that the shaking is due to which of the following
factors? (select all) - ANSWER - Change in body fluids
- Metabolic effort of labor
Baby-Friendly Care - ANSWER
A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding. He
appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the
following actions should the nurse use to promote father-infant bonding? - ANSWER Provide
education about the infant care when the father is present
A client is in the early postpartum period and is very excited and talkative. She is repeatedly telling the
nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having
difficulty completing the postpartum assessments. Which of the following actions should the nurse take? -
ANSWER Give the client time to express her feelings (taking-in phase)
A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and
mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to
intervene? (select all) - ANSWER - Demonstrates apathy when the infant cries
, - Views infant's behavior as uncooperative during diaper change
A nurse is caring for a client who is 2 days postpartum. The client states, "my four year old son was toilet
trained and now he is frequently wetting himself." Which of the following statements should the nurse
provide to the client? - ANSWER "Your son is showing an adverse sibling response"
A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just
delivered. Which of the following is the priority action by the nurse? - ANSWER Position the
neonate skin-to-skin on the client's chest
Client Education and Discharge Teaching - ANSWER
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client
reports breast engorgement. Which of the following recommendations should the nurse make? -
ANSWER "Apply cold compresses between feedings"
A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact
her provider for which of the following client findings? - ANSWER Sore nipple with cracks and
fissures
A nurse is providing discharge teaching for a non-lactating client. Which of the following instructions
should the nurse include in the teaching? - ANSWER "Wear a supportive bra continuously for
the first 72 hours"
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the
nurse suggest? - ANSWER Kegel exercises
A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at
greatest risk for developing postpartum infection? - ANSWER A client who does not wash her
hands between perineal care and breastfeeding
Postpartum disorders - ANSWER
A nurse is caring for a client who is postpartum. The nurse should identify which of the following
findings as an early indicator of hypovolemia caused by hemorrhage? - ANSWER Increasing
pulse and decreasing blood pressure
A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group
of nurses. Which of the following factors should the nurse include in the teaching? (select all) -
ANSWER - Precipitous delivery
- Inversion of the uterus
- Retained placental fragments
A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with
a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse
expect? (select all) - ANSWER - Calf tenderness to palpation
- Elevated temperature
- Area of warmth
Answers With Verified Solutions Graded
A+ Latest Update 2025.
Postpartum Physiological Adaptations - ANSWER
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes perineal
pad for lochia. She notes pad to be saturated approximately 12 cm with lochia that is bright red and
contains small clots. Which of the findings should the nurse document? - ANSWER Moderate
lochia rubra
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon
stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which
of the following findings should the nurse interpret this data as being? - ANSWER A normal
postural discharge of lochia
A nurse is completing postpartum discharge teaching to a client who had no immunity to varicella and
was given varicella vaccine. Which of the following statements by the client indicates understanding of
the teaching? - ANSWER "I need a second vaccination at my postpartum visit"
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted
to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the
following conditions as the cause of the uterine atony? - ANSWER Urinary retention
A nurse is caring for a client who is 1 hour postpartum following a vaginal birth and experiencing
uncontrollable shaking. The nurse should understand that the shaking is due to which of the following
factors? (select all) - ANSWER - Change in body fluids
- Metabolic effort of labor
Baby-Friendly Care - ANSWER
A nurse concludes that the father of an infant is not showing positive signs of parent-infant bonding. He
appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the
following actions should the nurse use to promote father-infant bonding? - ANSWER Provide
education about the infant care when the father is present
A client is in the early postpartum period and is very excited and talkative. She is repeatedly telling the
nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having
difficulty completing the postpartum assessments. Which of the following actions should the nurse take? -
ANSWER Give the client time to express her feelings (taking-in phase)
A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and
mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to
intervene? (select all) - ANSWER - Demonstrates apathy when the infant cries
, - Views infant's behavior as uncooperative during diaper change
A nurse is caring for a client who is 2 days postpartum. The client states, "my four year old son was toilet
trained and now he is frequently wetting himself." Which of the following statements should the nurse
provide to the client? - ANSWER "Your son is showing an adverse sibling response"
A nurse in the delivery room is planning to promote maternal-infant bonding for a client who just
delivered. Which of the following is the priority action by the nurse? - ANSWER Position the
neonate skin-to-skin on the client's chest
Client Education and Discharge Teaching - ANSWER
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client
reports breast engorgement. Which of the following recommendations should the nurse make? -
ANSWER "Apply cold compresses between feedings"
A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact
her provider for which of the following client findings? - ANSWER Sore nipple with cracks and
fissures
A nurse is providing discharge teaching for a non-lactating client. Which of the following instructions
should the nurse include in the teaching? - ANSWER "Wear a supportive bra continuously for
the first 72 hours"
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client
reports leaking urine every time she sneezes or coughs. Which of the following interventions should the
nurse suggest? - ANSWER Kegel exercises
A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at
greatest risk for developing postpartum infection? - ANSWER A client who does not wash her
hands between perineal care and breastfeeding
Postpartum disorders - ANSWER
A nurse is caring for a client who is postpartum. The nurse should identify which of the following
findings as an early indicator of hypovolemia caused by hemorrhage? - ANSWER Increasing
pulse and decreasing blood pressure
A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a group
of nurses. Which of the following factors should the nurse include in the teaching? (select all) -
ANSWER - Precipitous delivery
- Inversion of the uterus
- Retained placental fragments
A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with
a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse
expect? (select all) - ANSWER - Calf tenderness to palpation
- Elevated temperature
- Area of warmth
