ATI LPN OB Maternal Newborn | Nurselytic

Questions 30

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ATI LPN OB Maternal Newborn Questions

Extract:

A nurse is caring for a client who is 1 day postpartum following a cesarean birth.


Question 1 of 5

To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?

Correct Answer: A

Rationale: Ambulation is crucial in preventing thrombophlebitis as it promotes blood circulation and prevents blood stasis, which can lead to clot formation.

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 client who is 7 days postpartum calls the provider's office and reports pain, swelling, and redness of her left calf.


Question 3 of 5

Besides the client seeing the provider, which of the following interventions should the nurse suggest?

Correct Answer: B

Rationale: Elevating the leg helps to reduce swelling and pain by promoting venous return. This is a standard intervention for managing symptoms of deep vein thrombosis (DVT).

Extract:

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad.


Question 4 of 5

Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Checking the fundus helps determine if the uterus is contracting properly, which is essential in managing postpartum bleeding.

Extract:

A nurse is caring for a client who is postpartum.


Question 5 of 5

Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer: D

Rationale: Rho(
D) immune globulin is indicated when the client is Rh negative and the newborn is Rh positive. This prevents the development of Rh antibodies in the client, which could affect future pregnancies.

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