ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Document the findings and continue to monitor the client. This is the appropriate action because the client's fundus is midline and firm, indicating good uterine contraction. The presence of lochia rubra and small clots is expected in the immediate postpartum period, and as long as the fundus is firm, it suggests that the bleeding is likely within normal limits. Increasing the frequency of fundal massage (
A) is unnecessary and may not be indicated if the fundus is already firm. Encouraging the client to empty her bladder (
C) is important for uterine contraction but is not the priority in this situation. Notifying the client's provider (
D) is not necessary at this point since the client's condition is stable.
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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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