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ATI RN · ATI Maternal Newborn · Chimat Maternity Needs Assessment

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1. What action should the nurse take immediately?

A. Give the medication as prescribed and monitor for efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage the fundus
D. Call the healthcare provider to question the prescription

Expert Explanatory Rationale

Correct Answer: Call the healthcare provider to question the prescription

Question 2 of 5

Which action should the nurse take if an infant, who was born yesterday weighing 7.5 lbs (3,317 grams), weights 7 lbs. (3,175 grams) today.

A. Monitor the stool and urine output of the neonate for the last 24 hours
B. Inform and assure the mother that this is a normal weight loss
C. Encourage the mother to increase frequency of breastfeeding.
D. After verifying the accuracy of the weight, notify the healthcare provider.

Expert Explanatory Rationale

Correct Answer: Inform and assure the mother that this is a normal weight loss

Question 3 of 5

When reviewing a new patient's birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?

A. The patient will have her grandmother as a support person.
B. The patient will bring a paid, trained labor support person with her during labor.
C. The patient will have a special video she will play during labor to assist with relaxation.
D. The patient will have a bag that contains all the approved equipment that may help with the labor process.

Expert Explanatory Rationale

Correct Answer: The patient will bring a paid, trained labor support person with her during labor.

Question 4 of 5

The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, 'Why is elective abortion considered such an ethical issue?'

A. Abortion requires third-party consent.
B. The U.S. Supreme Court ruled that life begins at conception.
C. Abortion law is unclear about a woman's constitutional rights.
D. There is a conflict between the rights of the woman and the rights of the fetus.

Expert Explanatory Rationale

Correct Answer: There is a conflict between the rights of the woman and the rights of the fetus.

Question 5 of 5

A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately?

A. Heart rate of 100 beats/minute
B. Variable fetal heart rate
C. Onset of uterine contractions
D. Burning urination

Expert Explanatory Rationale

Correct Answer: Onset of uterine contractions

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