Questions 53

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ATI RN Maternal Newborn Updated 2023 Questions

Extract:

A postpartum client who recently had an indwelling urinary catheter removed.


Question 1 of 5

Which of the following findings indicates that the client is able to void effectively?

Correct Answer: A

Rationale: Urinating 30 mL/hr is within the normal range (30-60 mL/hr), indicating effective voiding, unlike the other options, which suggest retention or unrelated findings.

Extract:

A client who has preeclampsia.


Question 2 of 5

Which of the following actions is the nurse's priority when implementing seizure precautions?

Correct Answer: C

Rationale: Padding the side rails prevents injury during a seizure, the priority for safety in preeclampsia, over the other supportive but less immediate actions.

Extract:

A client who is 6 hr postpartum and has endometritis.


Question 3 of 5

Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Uterine tenderness is a hallmark of endometritis due to uterine infection, unlike the other normal or unrelated findings.

Extract:

A postpartum client who delivered vaginally 8 hr ago.


Question 4 of 5

Select the 3 findings that require immediate follow-up.

Correct Answer: B,C,D

Rationale: Lateral uterine deviation (
B), large lochia rubra (
C), and soft uterine tone (
D) indicate potential hemorrhage or atony, requiring immediate follow-up, unlike the other normal or less urgent findings.

Extract:

A client in the postpartum unit.


Question 5 of 5

Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

Correct Answer: D

Rationale: Adequate nutritional intake supports the mother's recovery during the taking-in phase, focused on her needs, unlike the other goals, which align with the taking-hold phase.

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