Custom ATI Maternity Exam 2 | Nurselytic

Questions 23

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Custom ATI Maternity Exam 2 Questions

Extract:

Client who is 14 hr postpartum, breasts soft, fundus firm, slightly deviated to the right, moderate lochia rubra, temperature 37.7 C (100 F), pulse rate 88/min, respiratory rate 18/min


Question 1 of 5

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus firm, slightly deviated to the right, moderate 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 fundus deviated to the right suggests a full bladder, which can impede uterine contraction. Asking the client to empty her bladder is the priority to correct fundal position and prevent complications.

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Question 2 of 5

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