Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 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 2 of 5

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: A firm, midline fundus with lochia rubra and small clots is normal; documenting and monitoring are appropriate.

Question 3 of 5

A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Correct Answer: D

Rationale: The rooting reflex guides the newborn to turn toward the nipple, facilitating latching during breastfeeding.

Question 4 of 5

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer: B

Rationale: A sharp hand clap elicits the Moro reflex, causing the newborn to extend and then adduct their arms.

Question 5 of 5

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Correct Answer: C

Rationale: A boggy, displaced fundus suggests bladder distension; voiding can relieve this, aiding uterine contraction.

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