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Maternity ATI Exam 2025; All Correct & Verified
a nurse is caring for a client who is 2 weeks postpartum following
a cesarean birth. Which of the following clinical findings should
the nurse identify as an indication of postpartum infection?
1. unilateral breast pain
2. loch alba
3. stretch marks
4. WBC count 12,000/mm3
.....ANSWER.....Unilateral breast pain
a nurse is assessing a client who has preeclampsia during a
prenatal visit. Which of the following fingers should the nurse
report to the provider?
1. blood glucose 110 mg/dL
2. deep tendon reflexes of 2+
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3. urine protein of 3+
4. hemoglobin of 13 g/dL .....ANSWER.....urine protein of 3+
a nurse is providing teaching about the expected effects of
magnesium sulfate to a client who is at 28 weeks of gestation
and has preeclampsia. Which of the following responses by the
nurse is appropriate?
1. "this med improves tissue perfusion"
2. "This med increases cardiac output"
3. "This med stabilizes the fetal heart rate"
4. "This med prevents seizures"
.....ANSWER....."This med prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which
of the following information should the nurse include?
1. You will have dilation and effacement of the cervix
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2. Your contractions will become temporarily regular
3. You will have bloody show
4. Your contractions will become more intense when walking
.....ANSWER.....Your contractions will become temporarily regular
A nurse manager is revising a maternal unit policy to ensure
proper identification of newborns. Which of the following should
the nurse include in the policy?
1. Check the newborns identification using the crib card
2. Replace the infants identification band after his name has
been recorded
3. Require visitors to wear an identification band
4. Obtain an imprint of the infants feet prior to taking him to the
nursery
.....ANSWER.....Obtain an imprint of the infants feet prior to
taking him to the nursery
, Page 4 of 44
A nurse is caring for a client who delivered by cesarean birth 6
hours ago. The nurse noes a steady trickle of vaginal bleeding
that does not stop with fundal massage. Which of the following
actions should the nurse take?
1. apply an ice pack to the incision site
2. replace the surgical dressing
3. administer 500 ml lactated ringers IV bolus
4. evaluate urinary output
.....ANSWER.....Evaluate urinary output
A nurse is providing discharge instructions to a client who is
postpartum and has engorged breasts. Which of the following
nonpharmacological comfort measures should the nurse include in
the teaching?
1. wear nipple shields during the feeding
2. Use plastic-lined breast pads
Maternity ATI Exam 2025; All Correct & Verified
a nurse is caring for a client who is 2 weeks postpartum following
a cesarean birth. Which of the following clinical findings should
the nurse identify as an indication of postpartum infection?
1. unilateral breast pain
2. loch alba
3. stretch marks
4. WBC count 12,000/mm3
.....ANSWER.....Unilateral breast pain
a nurse is assessing a client who has preeclampsia during a
prenatal visit. Which of the following fingers should the nurse
report to the provider?
1. blood glucose 110 mg/dL
2. deep tendon reflexes of 2+
,Page 2 of 44
3. urine protein of 3+
4. hemoglobin of 13 g/dL .....ANSWER.....urine protein of 3+
a nurse is providing teaching about the expected effects of
magnesium sulfate to a client who is at 28 weeks of gestation
and has preeclampsia. Which of the following responses by the
nurse is appropriate?
1. "this med improves tissue perfusion"
2. "This med increases cardiac output"
3. "This med stabilizes the fetal heart rate"
4. "This med prevents seizures"
.....ANSWER....."This med prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which
of the following information should the nurse include?
1. You will have dilation and effacement of the cervix
,Page 3 of 44
2. Your contractions will become temporarily regular
3. You will have bloody show
4. Your contractions will become more intense when walking
.....ANSWER.....Your contractions will become temporarily regular
A nurse manager is revising a maternal unit policy to ensure
proper identification of newborns. Which of the following should
the nurse include in the policy?
1. Check the newborns identification using the crib card
2. Replace the infants identification band after his name has
been recorded
3. Require visitors to wear an identification band
4. Obtain an imprint of the infants feet prior to taking him to the
nursery
.....ANSWER.....Obtain an imprint of the infants feet prior to
taking him to the nursery
, Page 4 of 44
A nurse is caring for a client who delivered by cesarean birth 6
hours ago. The nurse noes a steady trickle of vaginal bleeding
that does not stop with fundal massage. Which of the following
actions should the nurse take?
1. apply an ice pack to the incision site
2. replace the surgical dressing
3. administer 500 ml lactated ringers IV bolus
4. evaluate urinary output
.....ANSWER.....Evaluate urinary output
A nurse is providing discharge instructions to a client who is
postpartum and has engorged breasts. Which of the following
nonpharmacological comfort measures should the nurse include in
the teaching?
1. wear nipple shields during the feeding
2. Use plastic-lined breast pads
