ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.
Question 1 of 5
Which of the following recommendations should the nurse give the client?
Correct Answer: B
Rationale: Expressing milk from both breasts is the correct recommendation. Breast engorgement is common in the early postpartum period as the milk comes in. Expressing milk, either by breastfeeding frequently or using a breast pump, helps to relieve the fullness, reduce discomfort, and maintain milk production.
Extract:
A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, 'I feel really down and sad lately. I have no energy and I feel like I'm going to cry.'.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Using a postpartum depression-screening tool with the client is the first action the nurse should take. This tool helps to assess the severity of the client's symptoms and determine the appropriate level of care.
Extract:
Question 3 of 5
A nurse is reinforcing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following client findings?
Correct Answer: A
Rationale: Sore nipples with cracks and fissures can indicate an infection or improper breastfeeding technique, requiring medical attention.
Question 4 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 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.