Questions 54

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ATI Maternal Newborn Quiz Questions

Extract:

A client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g).


Question 1 of 5

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Correct Answer: B

Rationale: A macrosomic infant increases the risk of uterine atony due to overstretching, potentially leading to postpartum hemorrhage.

Extract:

A 12-hour postpartum patient.


Question 2 of 5

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Correct Answer: C

Rationale: Early ambulation promotes circulation, reducing the risk of deep vein thrombosis postpartum.

Extract:

A client who is two days postpartum and has a fourth degree perineal laceration.


Question 3 of 5

A nurse is reviewing the prescribed orders for a client who is two days postpartum and has a fourth degree perineal laceration. Which of these orders should the nurse question?

Correct Answer: D

Rationale: Enemas are contraindicated with fourth-degree lacerations due to risk of trauma and pain; stool softeners are preferred.

Extract:

Client AA, 25-year-old G5P3, 0800, HR 102, BP 100/50, T 99.8, fundus 1 cm above umbilicus, firm, lochia rubra heavy with clots, history of preeclampsia and gestational diabetes.


Question 4 of 5

The nursing priority is to

Correct Answer: A

Rationale: Heavy lochia with clots indicates potential postpartum hemorrhage; fundal massage is critical to promote uterine contraction and control bleeding.

Extract:

A client who gave birth 15 days ago with a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F).


Question 5 of 5

A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

Correct Answer: D

Rationale: Endometritis, an infection of the uterine lining, causes foul-smelling lochia and fever, often leading to excessive bleeding.

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