ATI LPN
PN ATI Capstone Maternal Newborn Questions
Question 1 of 5
A nurse is caring for a client who gave birth 4 hr ago and is experiencing excessive vaginal bleeding. Which of the following actions should the nurse plan to take first?
Correct Answer: C
Rationale: The first action is to massage the client's fundus, as uterine atony is a common cause of postpartum hemorrhage, and this intervention can help stimulate uterine contraction and reduce bleeding.
Question 2 of 5
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
Correct Answer: A
Rationale: Premature ovarian failure affects fertility by leading to reduced or absent ovarian function, resulting in decreased estrogen production and irregular menstrual cycles.
Question 3 of 5
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should document the client's obstetrical history as which of the following?
Correct Answer: D
Rationale: Gravida refers to the total number of pregnancies (4), and Para refers to the number of viable births (2 full-term + 0 preterm = 2). The correct documentation is Gravida 4, Para 2.
Question 4 of 5
A nurse is reviewing the laboratory results of a newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A bilirubin level of 4 mg/dL is elevated for a newborn and requires monitoring and potential intervention to prevent complications such as jaundice and kernicterus.
Question 5 of 5
A nurse is providing discharge instructions to a client following a cesarean birth. Which of the following should the nurse include in the instructions?
Correct Answer: D
Rationale: After a cesarean birth, the client should limit physical activity, including stair climbing and lifting, to allow the incision to heal. Supporting the abdomen with a pillow when coughing or sneezing can also reduce discomfort and protect the incision.
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