ATI LPN
ATI LPN OB Maternal Newborn Questions
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 1 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 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 2 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:
Question 3 of 5
In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)
Correct Answer: A,B,C
Rationale:
Topical creams, sitz baths, and ice packs help soothe, promote healing, and reduce swelling.
Tocolytics are not indicated for episiotomy or laceration care.
Extract:
The nurse working in a women's clinic admits a patient who is almost 6 weeks postpartum and describes a yellow-white vaginal drainage.
Question 4 of 5
The nurse interprets this as indicating what?
Correct Answer: B
Rationale: Lochia alba is the final stage of lochia, occurring around 10 to 14 days postpartum and lasting up to six weeks. It is characterized by a yellowish-white discharge, indicating the end of the postpartum bleeding process.
Extract:
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.
Question 5 of 5
Which of the following recommendations should the nurse give the client?
Correct Answer: B
Rationale: Expressing milk from both breasts is the correct recommendation. Breast engorgement is common in the early postpartum period as the milk comes in. Expressing milk, either by breastfeeding frequently or using a breast pump, helps to relieve the fullness, reduce discomfort, and maintain milk production.