Questions 54

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ATI RN Test Bank

ATI Maternal Newborn Quiz Questions

Extract:

A client who gave birth 15 days ago with a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F).


Question 1 of 5

A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

Correct Answer: D

Rationale: Endometritis, an infection of the uterine lining, causes foul-smelling lochia and fever, often leading to excessive bleeding.

Extract:

A 25-year-old woman who gave birth to her second child 6 hours ago, reporting increased bleeding compared to her previous birth.


Question 2 of 5

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

Correct Answer: A

Rationale: Assessing the fundus for firmness and location is critical to identify uterine atony, a common cause of postpartum hemorrhage.

Extract:

A client at 12 hours postpartum who has voided a total of 200 ml with a distended bladder.


Question 3 of 5

A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?

Correct Answer: B

Rationale: A distended bladder with low output indicates urinary retention, requiring immediate provider notification to prevent complications.

Extract:

Client AA, 25-year-old G5P3, 0800, HR 102, BP 100/50, T 99.8, fundus 1 cm above umbilicus, firm, lochia rubra heavy with clots, history of preeclampsia and gestational diabetes.


Question 4 of 5

The nursing priority is to

Correct Answer: A

Rationale: Heavy lochia with clots indicates potential postpartum hemorrhage; fundal massage is critical to promote uterine contraction and control bleeding.

Extract:

A client who gave birth 15 days ago with a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F).


Question 5 of 5

A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

Correct Answer: D

Rationale: Endometritis, an infection of the uterine lining, causes foul-smelling lochia and fever, often leading to excessive bleeding.

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