Practice Question
After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?
Answer Choices:
Correct Answer:
A primigravida whose perineal pain has worsened one hour after being medicated.
Rationale:
🔷 Increased perineal pain following analgesia could suggest a developing hematoma, which may not be externally visible but can cause significant internal bleeding.
🔷 This is a priority concern because hematomas can rapidly enlarge, leading to hypovolemia and severe pain.
🔷 Prompt reassessment is necessary to evaluate for swelling, discoloration, or firmness in the perineal area.
🔷 Hematomas are more likely in primigravidas due to firmer tissue tone and lack of previous vaginal delivery.
🔷 Timely RN intervention helps prevent complications such as shock or the need for surgical evacuation.
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This question is from RN ATI Maternal Newborn with NGN~2019. which contains 66 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4