Questions 46

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ATI Maternal Newborn Care Exam 4A Questions

Extract:

Six to twelve hours after the vaginal delivery of a single infant and placenta.


Question 1 of 5

Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of

Correct Answer: C

Rationale: The fundus is typically at or below the umbilicus 6-12 hours post-delivery as part of normal uterine involution.

Extract:

A nurse is preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL.


Question 2 of 5

How many mL should nurse administer?

Correct Answer: 10

Rationale: 50 mg -->(25 mg/5 mL) = 10 mL.

Extract:

A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height.


Question 3 of 5

At which of the following locations should the nurse expect to find the fundus?

Correct Answer: C

Rationale: At 22 weeks, the fundus is typically 1-2 cm above the umbilicus, aligning with 3 cm above.

Extract:

A nurse is collecting data from a client who is postpartum.


Question 4 of 5

Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Correct Answer: D

Rationale: An elevated heart rate of 110/min may indicate infection or hemorrhage, requiring further assessment.

Extract:

A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood for a 30-min period.


Question 5 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Checking the fundus first assesses for uterine atony, a common cause of excessive bleeding.

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