ATI LPN
ATI LPN OB Maternal Newborn Questions
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 1 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 collecting data from a client who is 1 day postpartum.
Question 2 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:
Question 3 of 5
After a client has a C-section she needs to get up and take short walks to prevent what?
Correct Answer: B
Rationale: Walking helps prevent blood clots by promoting circulation. Postoperative patients are encouraged to ambulate early to reduce the risk of deep vein thrombosis (DVT) and pulmonary embolism.
Extract:
A nurse is collecting data from a client who is 12 hours postpartum following a spontaneous vaginal delivery.
Question 4 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:
The client, a 22-year-old female, delivered her first child via spontaneous vaginal delivery two days ago. The client had a routine delivery with no significant complications but underwent an episiotomy due to perineal tearing during the second stage of labor. She has no known allergies, and her medical history includes mild anemia managed with iron supplements. She is currently breastfeeding and has reported experiencing fatigue and occasional night sweats since delivery.
Question 5 of 5
As a maternity-prepared nurse, the nurse understands that the client's elevated WBC count_________ is and.__________
Correct Answer: A,D
Rationale: Elevated WBC counts are common in the immediate postpartum period due to the body's response to labor and delivery. These levels typically return to normal within the first week postpartum.