Practice Question
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Evaluate urinary output.
Rationale:
🚨 A steady trickle of vaginal bleeding despite a firm fundus suggests non-uterine sources like vaginal/cervical lacerations.
🚨 Evaluating urinary output helps assess circulatory volume and perfusion—crucial in potential hemorrhage.
🚨 Ice packs and surgical dressing changes are not relevant to internal bleeding control.
🚨 IV fluids may be needed, but assessment comes first to determine ongoing loss and need for escalation.
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This question is from RN ATI Maternal&Newborn Care~2023 which contains 46 questions.
More Questions from This Exam
A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?
Answer Choices:
A. 1M in right deltoid
B. Subcutaneous in the right deltoid
C. 1M in left vastus lateralis
D. Subcutaneous in the left vastus lateralis
A nurse is assessing the results of a no stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Answer Choices:
A. Irregular contractions of IO to 20 seconds in duration that are not felt by the client
B. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting IO seconds in response to fetal movement within a 40-min testing period
C. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period
D. Three fetal movements perceived by the client in a 20-min testing period
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?
Answer Choices:
A. Human papillomavirus
B. Rubella
C. Varicella
D. Tetanus
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Answer Choices:
A. Uterine tone soft
B. Blood pressure 136/86 mm Hg
C. Peripheral edema bilateral lower extremities
D. Large amount of lochia rubra
E. Pain rating of 3 on a scale of O to 10
F. Breasts soft
G. Lateral deviation of the uterus
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Answer Choices:
A. Move the client onto their hands and knees.
B. Press firmly on the client’s suprapubic area.
C. Apply pressure to the client’s fundus.
D. Assist the client in pulling their knees toward their abdomen.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4