ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is collecting data from a client who is 1 day postpartum.
Question 1 of 5
Which of the following findings requires immediate intervention by the nurse?
Correct Answer: B
Rationale: A displaced fundus from the midline, especially if it is accompanied by a boggy uterus, indicates uterine atony, which can lead to postpartum hemorrhage. Immediate intervention is required to prevent severe blood loss.
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:
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 3 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 nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Contacting a crisis counselor once a week provides structured support and monitoring, which is crucial for managing postpartum depression.
Extract:
A nurse is collecting data from a client who is 3 hr postpartum. The nurse notes that the client's fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Having the client urinate is the correct action. A full bladder can displace the uterus and prevent it from contracting properly, which can lead to postpartum hemorrhage.