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: Emptying the bladder addresses the deviated fundus and reduces bleeding, the priority in this scenario.
Extract:
newborn, mucus bubbling post-birth
Question 2 of 5
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Suctioning the mouth first prevents aspiration and clears the airway effectively.
Extract:
client, primigravida, 40 weeks gestation, thinks she is in labor
Question 3 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor? (Select all that apply):
Correct Answer: A,C,D
Rationale: A, C, D: Ruptured membranes, cervical dilation, and frequent contractions confirm labor. B is incorrect as labor pain is typically in the lower abdomen or back.
Extract:
client, preterm labor, amniocentesis for L/S ratio
Question 4 of 5
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?
Correct Answer: A
Rationale: The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity, crucial in preterm labor to evaluate the risk of respiratory distress syndrome.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 5 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 86/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: A full bladder can displace the uterus, causing a boggy fundus and increased bleeding; emptying the bladder is the priority.