ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
Question 1 of 5
After a client has a C-section she needs to get up and take short walks to prevent what?
Correct Answer: B
Rationale: Walking helps prevent blood clots by promoting circulation. Postoperative patients are encouraged to ambulate early to reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.
Extract:
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On data collection, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus.
Question 2 of 5
Which of the following findings should the nurse interpret this data as being?
Correct Answer: C
Rationale: A normal postural discharge of lochia occurs when pooled blood in the vagina is expelled upon standing or changing position. This is common and expected in the postpartum period.
Extract:
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Massaging the fundus helps the uterus contract and can reduce bleeding, which is crucial in managing postpartum hemorrhage.
Extract:
A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: In 3 to 5 days after delivery is the correct response. This is the typical timeframe for the transition from colostrum to mature milk. During this period, the breasts may feel fuller and heavier as milk production increases.
Extract:
A nurse is collecting data from a client who is 12 hours postpartum following a spontaneous vaginal delivery.
Question 5 of 5
The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?
Correct Answer: A
Rationale: At 1 cm above the umbilicus is the expected position of the uterine fundus 12 hours postpartum. After delivery, the fundus is typically at the level of the umbilicus and then descends approximately 1 cm per day.