ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is contributing to the plan of care for a client who is postpartum and has thrombophlebitis.
Question 1 of 5
Which of the following nursing interventions should the nurse recommend?
Correct Answer: A
Rationale: Measuring leg circumferences is a crucial intervention for a client with thrombophlebitis. This helps in monitoring for any increase in swelling, which can indicate worsening of the condition or the development of complications such as deep vein thrombosis (DVT).
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:
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 3 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.
Extract:
A nurse is caring for a client who is postpartum.
Question 4 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:
A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine.
Question 5 of 5
Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: The client needs a second varicella vaccination at her postpartum visit to ensure full immunity. The initial dose provides partial immunity, and the second dose completes the vaccination series.