ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is 4 hr postpartum following a vaginal delivery
Question 1 of 5
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Correct Answer: D
Rationale: The correct answer is D: Deep tendon reflexes 4+. This finding indicates hyperreflexia, which can be a sign of preeclampsia or eclampsia, potentially life-threatening conditions postpartum. The nurse should prioritize assessing for signs of these conditions to ensure the client's safety.
A: Fundus at the level of the umbilicus is expected within 4 hours postpartum, representing normal involution.
B: Saturated perineal pad in 30 minutes could indicate excessive bleeding, but hyperreflexia poses a more immediate risk.
C: Approximated edges of episiotomy indicate proper wound healing, a lower priority than assessing for potential hypertensive disorders.
Extract:
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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