ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
A nurse is caring for a client who is postpartum and asks, 'When will my breast milk come in?'
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: In 3 to 5 days after delivery is the correct response. This is the typical timeframe for the transition from colostrum to mature milk. During this period, the breasts may feel fuller and heavier as milk production increases.
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 12 hours postpartum following a spontaneous vaginal delivery.
Question 3 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:
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:
Question 5 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.