ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is collecting data from a client who gave birth 12 hr ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assisting the client to void is the first action the nurse should take. A full bladder can cause the fundus to deviate to the right and become boggy. Voiding helps the uterus contract and return to its normal position.
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the client with warm blankets is the correct action. Shaking chills are often due to the body's attempt to regain thermal balance. Providing warmth with blankets helps to alleviate the chills and provide comfort to the client.
Extract:
A nurse is contributing to the plan of care for a client who is postpartum and has thrombophlebitis.
Question 3 of 5
Which of the following nursing interventions should the nurse recommend?
Correct Answer: A
Rationale: Measuring leg circumferences is a crucial intervention for a client with thrombophlebitis. This helps in monitoring for any increase in swelling, which can indicate worsening of the condition or the development of complications such as deep vein thrombosis (DVT).
Extract:
A new mother who is bottle feeding says that she is happy to not have to use birth control for several months after having a baby.
Question 4 of 5
What should the nurse say in response?
Correct Answer: C
Rationale: Ovulation can occur within 27 days postpartum, making it important to discuss contraception early to prevent unintended pregnancies.
Extract:
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.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking the fundus helps determine if the uterus is contracting properly, which is essential in managing postpartum bleeding.