ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is collecting data from a client who gave birth 12 hr ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assisting the client to void is the first action the nurse should take. A full bladder can cause the fundus to deviate to the right and become boggy. Voiding helps the uterus contract and return to its normal position.
Extract:
A nurse is collecting data from a client who is postpartum.
Question 2 of 5
Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: B
Rationale: A heart rate of 110/min is a sign of tachycardia, which can indicate a postpartum complication such as infection, hemorrhage, or other underlying conditions.
Extract:
A nurse is collecting data from a client who is 12 hours postpartum following a spontaneous vaginal delivery.
Question 3 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.
Extract:
A nurse is caring for a client who just delivered a stillborn infant at 36 weeks gestation.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Allowing the parents to hold their baby for as long as they want provides them with the opportunity to say goodbye and can be a crucial part of the grieving process.
Extract:
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering the client with warm blankets is the correct action. Shaking chills are often due to the body's attempt to regain thermal balance. Providing warmth with blankets helps to alleviate the chills and provide comfort to the client.