ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 1 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A full bladder is the likely cause of the deviated, boggy fundus; emptying it is the first action to reduce bleeding.
Extract:
client, vaginal birth 2 hours ago
Question 2 of 5
A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: A
Rationale: Precipitous birth increases the risk of uterine atony, a major cause of postpartum hemorrhage due to rapid delivery.
Extract:
newborn, immediate skin-to-skin contact
Question 3 of 5
Benefits of immediate skin to skin contact include (Select all that apply):
Correct Answer: C,D,E,F
Rationale: C, D, E, F: These are evidence-based benefits of skin-to-skin contact. A and B are incorrect as skin-to-skin promotes bonding and breastfeeding.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 4 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A full bladder is the likely cause of the deviated, boggy fundus; emptying it is the first action to reduce bleeding.
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 5 of 5
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.