ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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. Palpating the uterus above the umbilicus 12 hours postpartum indicates uterine displacement due to a full bladder. A distended bladder can displace the uterus, leading to uterine atony and increased risk of postpartum hemorrhage. By assisting the client to empty their bladder, the nurse can help the uterus return to its proper position, reducing the risk of complications. Reassessing the client in 2 hours (
A) does not address the immediate issue of bladder distention. Administering simethicone (
B) is indicated for gas relief and not related to the palpated uterus. Instructing the client to lie on their right side (
D) may be uncomfortable and does not address the underlying bladder distention.
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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