ATI RN
ATI Capstone Class Exam Week 12 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is 3 days postpartum and is breastfeeding. The nurse notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate, and the breasts are full and warm to palpation. Which of the following interpretations of these findings should the nurse make?
Correct Answer: A
Rationale:
Rationale: The nurse should interpret the findings as normal for a client 3 days postpartum. The fundus being 3 fingerbreadths below the umbilicus is within the expected range. Moderate lochia rubra is normal postpartum bleeding. Full and warm breasts are expected signs of lactation.
Choice A is correct because the findings do not indicate any complications requiring additional interventions at this time.
Choices B and C are incorrect as there is no indication for heating pads or bra removal.
Choice D is incorrect as there are no signs of mastitis present.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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