ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer’s IV bolus. This action is necessary to address the ongoing vaginal bleeding after cesarean birth, which may indicate hypovolemia or postpartum hemorrhage. Administering IV fluids helps to restore circulating volume and maintain adequate perfusion to prevent further complications.
Replacing the surgical dressing (
A) does not address the underlying issue of vaginal bleeding. Evaluating urinary output (
B) is important for assessing renal function but is not the priority in this situation. Applying an ice pack to the incision site (
C) is not appropriate for treating postpartum bleeding. Administering a lactated Ringer’s IV bolus (
D) is the most urgent intervention to manage the ongoing bleeding and prevent further complications.
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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