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ATI Maternal Newborn Moitiso 4T Exam

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Title : ATI Maternal Newborn Moitiso 4T Exam

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : Maternal & Newborn Care (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2025

Duration : 45 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Maternal and Newborn care questions tailored for RN students.

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1 :
A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?

Eat a high-tat diet.

Stop taking prenatal vitamins.

An additional 450-500 kCaI per day should be consumed.

8-16 oz of water per day is all that is needed.

Hint : 🧃Make sure the nursing mother eats enough to support both her energy and milk supply.

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2 :
A nurse is caring for a client who is 6 hours postpartum and observes a light amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Encourage the client to empty her bladder.

Notify the clients provider.

Document the findings and continue to monitor the client.

Increase the frequency of fundal massage.

Hint : 🧺Sometimes just watching and charting normal findings is the safest action.

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3 :
A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?

Heart rate 125 bpm.

Fundus palpable at the umbilicus.

Urine output of 3,000 mL in 24 hr.

Orthostatic hypotension.

Hint : 🚨A fast heart rate can be an early clue to something going wrong postpartum.

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4 :
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?

A 29-year-old G3P3003 who had an uncomplicated SVD at term. Husband is at bedside. Older daughter is currently meeting her new sibling.

A 37-year-old G3P1112 with worsening preeclampsia who was induced at 34 weeks. She is currently on Magnesium Sulfate. Baby is in the NICU.

A 31 -year-old G3P2012 who had an uncomplicated SVD. History of depression. Her husband is active-duty military and is currently deployed.

A 16-year-old GI PIOOI who delivered via cesarean section.

A 20-year-old GI PIOOI who had an unmedicated, uncomplicated spontaneous vaginal delivery (SVD) at term. Boyfriend present.

Hint : 🧠A mental health history plus absent support can increase the risk of poor maternal adjustment.

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5 :
A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?

Lack of appetite.

Eagerness to learn newborn care skills.

Discussion of birth experience.

Reconnection with her partner.

Hint : 🗨️At first, the mother's focus is more on herself than the baby.

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6 :
A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?

Assess and ensure the newborn has a successful latch.

Recommend increasing the length of time between feedings.

Educate the client to apply mineral oil to the nipples between feedings.

Educate the client to keep the nipples covered between breastfeeding sessions.

Hint : 👶One of the most common causes of nipple pain is improper technique.

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7 :
A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Swelling in both breasts.

A white patch on a nipple.

Cracked and bleeding nipples.

Red and painful area in one breast.

Hint : 🧲Mastitis usually starts on one side and feels like a painful lump.

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8 :
A nurse is caring for a client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta. Which of the following findings indicates that the medication was effective?

Increase in lochia.

Report of absent breast pain.

Increase in blood pressure.

Fundus firm to palpation.

Hint : 🧪The main goal of postpartum oxytocin is contraction, not secretion.

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9 :
A nurse is providing discharge teaching to a postpartum client. The nurse emphasizes indications of potential complications and what to report to their provider. Which of the following findings should the nurse teach the client as a sign of a complication and requires further evaluation by a healthcare provider?

Headache that is not relieved by hydration, rest or OTC medication.

Brownish red or pink lochia at 7 days postpartum.

Chills and fever greater than 100.4 F (38.0 C).

Feelings or thoughts of harming self or infant.

Increased urinary output.

Redness, pain or tenderness in calf.

Hint : 🧍‍♀️Some symptoms may seem minor but can signal severe complications.

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10 :
A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is light, and the breasts are full and warm to palpation, without evidence of redness or pain. Which of the following interpretations of these findings should the nurse make?

The client is exhibiting expected assessment findings.

The client is exhibiting indications of mastitis.

The client should be advised to remove her nursing bra.

The client should be advised to stop breastfeeding.

Hint : 📅Normal healing comes with expected physical changes around day 3.

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Total Questions: 10

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Ans

ATI Maternal Newborn Moitiso 4T Exam

No.

1 : A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?

2 : A nurse is caring for a client who is 6 hours postpartum and observes a light amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

3 : A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?

4 : The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?

5 : A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?

6 : A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?

7 : A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

8 : A nurse is caring for a client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta. Which of the following findings indicates that the medication was effective?

1 :
A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?

2 :
A nurse is caring for a client who is 6 hours postpartum and observes a light amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

3 :
A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?

4 :
The nurse is reviewing the charts of several clients as she prepares to go over discharge teaching. Which of the following clients does the nurse recognize as having an increased risk for a difficult or ineffective transition to motherhood?

5 :
A nurse is caring for a client who experienced a vaginal birth 20 hours ago. The nurse recognizes the client is in the taking-in phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?

6 :
A nurse is caring for a client who is breastfeeding and states that her nipples are sore and cracking. Which of the following actions should the nurse take?

7 :
A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

8 :
A nurse is caring for a client who is postpartum and received a bolus of Oxytocin 30 units in 500 mL of NS over 1 hour following delivery of the placenta. Which of the following findings indicates that the medication was effective?