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ATI Custom maternity exam #2 2024

Total Questions : 57

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Question 1:

A nurse is collecting data from a postpartum client.
Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Answer and Explanation

A
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Question 2:

A nurse is assisting with the care of a client who is in labor and has the urge to push.
Which of the following instructions should the nurse give the client?

Answer and Explanation

A
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Question 3:
A nurse is assisting with the care of a client who is receiving Oxytocin via IV infusion following a vaginal delivery.
Which of the following findings should the nurse monitor to evaluate the effectiveness of this medication?
Answer and Explanation

A
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Question 4:


A nurse is assisting with the care of a client who is in labor.
The client's labor is difficult and prolonged and she reports a severe backache.
Which of the following factors is a contributing cause of difficult, prolonged labor?

Answer and Explanation

A
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Question 5:
A nurse is caring for a postpartum client who saturates a perineal pad in 10 min.



Which of the following actions should the nurse take first?
Answer and Explanation

A
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Question 6:
A home health care nurse is reinforcing teaching about breast engorgement with a client who is postpartum and is
breastfeeding her newborn.
Which of the following client statements indicates an understanding of the teaching?
Answer and Explanation

A
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Question 7:
A nurse is assisting with the care of a client who is in the first stage of labor.
The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse take first?
Answer and Explanation

A
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Question 8:
A nurse is caring for a client who is 4 hours postpartum.
The nurse finds a small amount of lochia rubra on the client's perineal pad, and the fundus is midline and firm at the
umbilicus.
Which of the following actions should the nurse take?
Answer and Explanation

A
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Question 9:

A nurse is assisting in the care of a client who is in the second stage of labor.
Which of the following findings should the nurse report to the provider?

Answer and Explanation

A
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Question 10:

A nurse is assisting a client who is postpartum with her first breastfeeding experience.

When the client asks how much of the nipple she should put into the baby's mouth, which of the following responses
by the nurse is appropriate?

Answer and Explanation

A
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Question 11:



A nurse is reinforcing teaching about reducing the risk of perineal infection with a client who had a vaginal birth.
Which of the following information should the nurse include in the teaching? (Select all that apply.)
Answer and Explanation

A
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Question 12:
A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor.
The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min.
Which of the following actions should the nurse take first?
Answer and Explanation

A
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Question 13:
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding.
Her lochia rubra is moderate, and her breasts feel hard and warm.
Which of the following recommendations should the nurse give the client?
Answer and Explanation

A
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Question 14:
A nurse is assisting a client out of bed for the first time since delivery.
The client becomes frightened when she passes a large amount of lochia.



Which of the following responses should the nurse make?
Answer and Explanation

A
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Question 15:
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good
labor pattern has been established.
Which of the following explanations should the nurse include?
Answer and Explanation

A
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Question 16:
A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago.
The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Answer and Explanation

A
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Question 17:
A nurse is caring for a client who is requesting to go to the bathroom immediately after a vaginal birth.
Which of the following actions should the nurse take?
Answer and Explanation

A
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Question 18:
A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation.
Which of the following statements should the nurse include?
Answer and Explanation

A
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Question 19:



A nurse is preparing to administer dinoprostone gel to a client who is pregnant.
The client asks the nurse about the purpose of the medication.
Which of the following responses should the nurse make?
Answer and Explanation

A
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Question 20:
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states
that she thinks she is in labor.
Which of the following findings confirm that the client is in labor?
Answer and Explanation

A
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Question 21:
A nurse is assisting with the care of a client who is in labor.
Which of the following findings should the nurse report to the provider?
Answer and Explanation

A
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Question 22:
A nurse is assisting with the monitoring of a client who is in labor.
Which of the following findings should the nurse report to the provider?
Answer and Explanation

A
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Question 23:

A nurse is caring for a group of clients on a postpartum unit.
Which of the following findings should be reported to the RN immediately?

Answer and Explanation

A
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Question 24:
A nurse is assisting with the care of a client who is at 7 cm of cervical dilation and 100% effacement, and in active
labor.
The client informs the nurse that she needs to push.
Which of the following is the appropriate action for the nurse to take?
Answer and Explanation

A
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Question 25:
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the
client’s perineal pad.
Which of the following actions should the nurse take first?
Answer and Explanation

A
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