ATI Nur209 Pediatrics Final Assessment 2025 | Nurselytic

Questions 57

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ATI Nur209 Pediatrics Final Assessment 2025 Questions

Extract:

A client 1 hour after delivery with lochia rubra and small clots


Question 1 of 5

A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad. The client's fundus is firm and located at the umbilical level, in the midline. What action should the nurse take next?

Correct Answer: B

Rationale: The correct answer is B. The nurse should document the findings and continue to monitor the client. This is appropriate because the client's fundus is firm, located at the umbilical level, and in the midline, indicating proper uterine contraction. The presence of lochia rubra and small clots is normal in the immediate postpartum period. Increasing the frequency of fundal massage (choice
A) is unnecessary as the fundus is already firm. Encouraging the client to empty her bladder (choice
C) is important but not the priority in this situation. Notifying the provider immediately (choice
D) is not necessary at this point as the findings are within normal limits.
Therefore, the best course of action is to document the findings and continue to monitor the client for any changes.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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