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 postpartum.


Question 1 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.

Extract:


Question 2 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:

A nurse is caring for a client who just delivered a stillborn infant at 36 weeks gestation.


Question 3 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 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 4 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:

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 5 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.

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