Maternity Final ATI Questions And
Answers With Verified Solutions Graded
A+ Latest Update 2025.
A nurse is performing a fundal assessment for a client who is 2 days post party and observes the perineal
pad for lochia. She notes the pad to be saturated approx 12 cm with lochia that is bright red and contains
small clots. Which of the following 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 RN finds the clients uterus to be firm and midline & at the level of the umbilicus.
The nurse interprets this finding as - 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 indicates understanding? - ANSWER "I need a
second vaccination at my postpartum visit."
A nurse is assessing a postpartum client for fundal height, location, and consistency. The funds 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 uterine atony? - ANSWER urinary retention
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experiencing
uncontrollable shaking. The nurse should understand that the shaking is due to which of the following? -
ANSWER -change in body fluids
-metabolic effort of labor
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 infant care when the father is present.
A client in the early postpartum period 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.
A nurse is caring for a client who is 2 day postpartum. The nurse is assessing for material adaptation and
mother-infant bonding. Which of the following behaviors by the client indicated a need for the nurse to
intervene? - ANSWER -demonstrates apathy when the infant cries
-views the infants behavior and uncooperative during diaper changes
A nurse is caring for a client who is 2 days postpartum. The client states "My 4-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 priority action by the nurse? - ANSWER position the
neonate skin to skin on the clients chest
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client
reports great 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 nipples with cracks
and fissures
A nurse us 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 C-section. The client reports
leaking urine every time she sneezes or cough. Which of the following interventions should the nurse
suggest? - ANSWER Kegel exercises
A nurse is providing care to 4 clients on the postpartum unit. Which of the following clients is at greatest
risk for developing a postpartum infection? - ANSWER a client who does not wash her hands
between perineal care and breastfeeding
A nurse is caring for a client who is postpartum. The should should identify which of the following
findings as an early indicator of hypovolemia cause by hemorrhage? - ANSWER increased
pulse and decreasing BP
A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a drop
of nurses. Which of the following factors should the nurse include in the teaching? - ANSWER
-precipitous delivery
-inversion of the uterus
-retained placental fragments
A nurse of the postpartum unit is performing a physical assessment of a client who is being admitted with
a suspected DVT. Which of the following clinical findings should the nurse expect? - ANSWER
-calf tenderness to palpation
-elevated temp
-area of warmth
A nurse on the postpartum unit is planning care for a client who has thrombophlebitis. Which of the
following nursing interventions should the nurse include in the plan of care? - ANSWER
measure leg circumference
A nurse is caring for a client who has DIC. Which of the following antepartum complications should the
nurse understand is a risk factors for this condition? - ANSWER preeclampsia
Answers With Verified Solutions Graded
A+ Latest Update 2025.
A nurse is performing a fundal assessment for a client who is 2 days post party and observes the perineal
pad for lochia. She notes the pad to be saturated approx 12 cm with lochia that is bright red and contains
small clots. Which of the following 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 RN finds the clients uterus to be firm and midline & at the level of the umbilicus.
The nurse interprets this finding as - 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 indicates understanding? - ANSWER "I need a
second vaccination at my postpartum visit."
A nurse is assessing a postpartum client for fundal height, location, and consistency. The funds 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 uterine atony? - ANSWER urinary retention
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experiencing
uncontrollable shaking. The nurse should understand that the shaking is due to which of the following? -
ANSWER -change in body fluids
-metabolic effort of labor
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 infant care when the father is present.
A client in the early postpartum period 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.
A nurse is caring for a client who is 2 day postpartum. The nurse is assessing for material adaptation and
mother-infant bonding. Which of the following behaviors by the client indicated a need for the nurse to
intervene? - ANSWER -demonstrates apathy when the infant cries
-views the infants behavior and uncooperative during diaper changes
A nurse is caring for a client who is 2 days postpartum. The client states "My 4-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 priority action by the nurse? - ANSWER position the
neonate skin to skin on the clients chest
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client
reports great 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 nipples with cracks
and fissures
A nurse us 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 C-section. The client reports
leaking urine every time she sneezes or cough. Which of the following interventions should the nurse
suggest? - ANSWER Kegel exercises
A nurse is providing care to 4 clients on the postpartum unit. Which of the following clients is at greatest
risk for developing a postpartum infection? - ANSWER a client who does not wash her hands
between perineal care and breastfeeding
A nurse is caring for a client who is postpartum. The should should identify which of the following
findings as an early indicator of hypovolemia cause by hemorrhage? - ANSWER increased
pulse and decreasing BP
A nurse educator on the postpartum unit is reviewing risk factors for postpartum hemorrhage with a drop
of nurses. Which of the following factors should the nurse include in the teaching? - ANSWER
-precipitous delivery
-inversion of the uterus
-retained placental fragments
A nurse of the postpartum unit is performing a physical assessment of a client who is being admitted with
a suspected DVT. Which of the following clinical findings should the nurse expect? - ANSWER
-calf tenderness to palpation
-elevated temp
-area of warmth
A nurse on the postpartum unit is planning care for a client who has thrombophlebitis. Which of the
following nursing interventions should the nurse include in the plan of care? - ANSWER
measure leg circumference
A nurse is caring for a client who has DIC. Which of the following antepartum complications should the
nurse understand is a risk factors for this condition? - ANSWER preeclampsia
