ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. This is the correct intervention because a uterus palpable to the right above the umbilicus indicates a full bladder causing displacement of the uterus. Emptying the bladder will allow the uterus to return to the midline.
Choice A is incorrect as the immediate issue is a full bladder, not requiring a wait of 2 hours.
Choice B (administer simethicone) is incorrect as this medication is for gas relief and not relevant in this scenario.
Choice D (instruct the client to lie on their right side) is incorrect as it does not address the underlying problem of a full bladder.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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