Practice Question
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Assist the client to empty her bladder.
Rationale:
🟢 Deviated, elevated fundus after birth often indicates a full bladder displacing the uterus.
🟢 A full bladder prevents effective uterine contraction, increasing risk for hemorrhage.
🟢 Emptying the bladder allows the uterus to contract and return midline.
🟢 Monitoring and medications are supportive, but bladder care is priority.
🟢 Early intervention reduces complications and restores uterine tone.
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This question is from ATI PN Maternal Newborn-2023B which contains 55 questions.
More Questions from This Exam
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Answer Choices:
A. Puncture the heel and collect the blood.
B. Apply pressure with a dry gauze pad.
C. Wrap a warm, moist cloth around the heel
D. Cover the heel with an adhesive bandage.
E. Cleanse the heel with an antiseptic.
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum. Which of the following manifestations should the nurse expect?
Answer Choices:
A. Pruritus
B. Decreased BP
C. Hemoglobin 18 g/dL (11 to 16 g/dL)
D. WBC count 15,000/mm³ (5,000 to 15,000/mm³)
A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?
Answer Choices:
A. A client whose newborn is having difficulty latching-on
B. A client who received magnesium sulfate during labor
C. A client who has a history of oligohydramnios
D. A client whose labor lasted for 6 hr
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
Answer Choices:
A. Recurrent urinary tract infections
B. Tobacco use
C. History of positive group B streptococcus B-hemolytic
D. Deep-vein thrombosis
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching?
Answer Choices:
A. Wear the lap belt high across the abdomen.
B. Place the shoulder harness across the gravid uterus.
C. Disable the vehicle's driver-side airbags.
D. Move the seat as far away as possible from the steering wheel.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4