ATI vati maternal newborn proctored exam Practice Questions

Day 1, 2350:

Client admitted to the postpartum unit.

Fundus firm at umbilicus.

Moderate amount of lochia rubra noted.

No concerns voiced by client.

Day 2,

0600:

Client resting in bed.

Reports pain as 5 on a scale of 0 to 10. Declines pain medication.

Fundus firm at umbilicus.

Moderate amount of lochia rubra noted.

Perineal pad changed.

Client assisted to the bathroom, voided 50 mL of urine.

Client performed incentive spirometer exercises.

0700:

Called to bedside by client.

Client reports needing help changing perineal pad.

Perineal pad saturated.

Fundus boggy and 2 finger breaths above the umbilicus deviated to the right side.

Client reports pain as 3 on a scale of 0 to 10. Client reports urge to urinate.

Ambulated client to the bathroom.

Client reports straining to empty bladder.

Client voided 50 mL of bloody urine.

Perineal pad changed.

Provider notified.

0715:

Straight catheter inserted per routine prescription.

Urinary output 700 mL of pink-tinged urine in catheter returned.

Which of the following conditions is the client most likely experiencing?

A nurse is assessing a client who is 6 hours postpartum, tachycardic, and has cool skin. The client reports that they have been bleeding excessively.
Which of the following actions should the nurse take?

A nurse is assessing a client who is in active labor. The client reports back labor pains.
Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?

A nurse is caring for a newborn immediately following birth. The newborn has meconium-stained amniotic fluid.
Which of the following actions should the nurse take first?

A client who is in active labor is admitted to a labor and delivery unit reporting, "My water just broke and my baby is breech.”. Which of the following actions should the nurse take first?

A nurse is caring for a group of clients who are postpartum.
Which of the following clients is at an increased risk for a fall?

A nurse is teaching a client about iron supplementation during pregnancy.
Which of the following client statements indicates an understanding of the teaching?

A nurse is assessing a client who is in labor.
Which of the following findings should the nurse expect?

A nurse is assessing a client who is at 8 weeks of gestation and has hyperemesis gravidarum.
Which of the following are findings of this condition? (Select all that apply.)

A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia.
Which of the following actions should the nurse take?

A nurse is developing a plan of care for a client who is in the latent phase of labor.
Which of the following interventions should the nurse include in the plan to manage the client's pain?

A nurse is teaching a prenatal class to a group of parents and is discussing facilitation of sibling acceptance of the newborn.
Which of the following instructions should the nurse include in the teaching?