Practice Question
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Check the client’s fundus.
Rationale:
🟠 Fundal assessment is key if there’s heavy bleeding with clots after birth.
🟠 A boggy or high fundus can signal uterine atony (primary cause of PPH).
🟠 Firming the uterus can reduce or stop bleeding.
🟠 Vital signs, bladder check, and vaginal exam follow if bleeding continues.
🟠 Early action can prevent severe blood loss.
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This question is from ATI LPN OB Maternal Newborn which contains 30 questions.
More Questions from This Exam
A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL.How many mL should the nurse administer?
Answer Choices:
A. 22.5
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care?
Answer Choices:
A. Have the client ambulate frequently in the hallway.
B. Apply warm, moist soaks to the client’s lower legs.
C. Keep the client on bed rest.
D. Place pillows under the client’s knees while she is resting in bed.
In your patients who have sustained an episiotomy or a laceration, your nursing care would include? (Select all that apply.)
Answer Choices:
A. Topical cream.
B. Use sitz baths.
C. Ice packs.
D. Give tocolytics.
E. Nothing.
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?
Answer Choices:
A. Sore nipple with cracks and fissures.
B. Scant non odorous white vaginal discharge.
C. Uterine cramping during breastfeeding.
D. Decreased response with sexual activity.
A nurse is caring for a postpartum client who saturates a perineal pad in 10 minutes. Which of the following actions should the nurse take first?
Answer Choices:
A. Check the client’s blood pressure.
B. Observe the client.
C. Massage the client’s fundus.
D. Administer oxytocin.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4