Practice Question
Adllent, 1 day postpartum, is being monitored after a postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?
Answer Choices:
Correct Answer:
Urine output of 200 mL for the past 8 hours.
Rationale:
🔴 A urine output of only 200 mL over 8 hours indicates oliguria, which may be a sign of hypovolemia or acute kidney injury following postpartum hemorrhage (PPH).
🔴 Adequate renal perfusion depends on circulating volume, and reduced urine output is often an early indicator of continued blood loss or insufficient fluid resuscitation.
🔴 The expected urine output is at least 30 mL/hour, or 240 mL over 8 hours—anything less requires immediate assessment and reporting.
🔴 Ongoing hypovolemia may not be evident through vital signs alone, so urine output is a critical indicator of internal volume status.
🔴 Reporting this finding promptly helps initiate interventions to restore perfusion, prevent organ dysfunction, and avoid further maternal morbidity.
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This question is from RN ATI Maternity Exam II which contains 45 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