Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer: C

Rationale: A fundus palpable to the right of the midline suggests bladder distention, which can displace the uterus and hinder contractions, increasing hemorrhage risk.

Question 2 of 5

A nurse is performing a physical examination of a client who is 1 day postpartum. Which of the following findings requires immediate intervention?

Correct Answer: D

Rationale: A displaced fundus may indicate uterine atony, a leading cause of postpartum hemorrhage, requiring immediate action.

Question 3 of 5

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh, (D) Immunoglobulin. Which of the following should be included in the teaching?

Correct Answer: D

Rationale: RhoGAM prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.

Question 4 of 5

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care?

Correct Answer: B

Rationale: Hypoglycemia is the priority due to fetal hyperinsulinemia in newborns of diabetic mothers, requiring immediate monitoring.

Question 5 of 5

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: C

Rationale: Removing extra blankets reduces the risk of suffocation and SIDS, a key safe sleep practice.

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