Practice Question
A nurse is providing care to multiple clients on the postpartum unit. Which of the following clients is at the greatest risk for developing a puerperal infection?
Answer Choices:
Correct Answer:
A client who has an episiotomy that is erythematous and has extended into a third-degree laceration.
Rationale:
📌 A third-degree perineal laceration extending from an episiotomy creates a large open wound prone to infection.
📌 Erythema around the site is an early sign of inflammation or infection requiring urgent attention.
📌 The severity and depth of the wound increase the risk of bacterial invasion and puerperal infection.
📌 Timely wound care and monitoring are vital to prevent systemic infection.
📌 Identifying such high-risk clients ensures priority in infection prevention measures.
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This question is from RN ATI Maternity Nur230 which contains 54 questions.
More Questions from This Exam
A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?
Answer Choices:
A. Vaginal bleeding.
B. Lightheadedness when lying on back.
C. Heartburn after eating.
D. Swelling of the ankles.
A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?
Answer Choices:
A. Keep the head of the bed at a 30-degree angle.
B. Initiate the use of a PCA pump for pain control.
C. Reposition the client by log rolling every 4 hours.
D. Place the client in protective isolation.
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?
Answer Choices:
A. Cervical dilation.
B. Report of pain above the umbilicus.
C. Brownish vaginal discharge.
D. Amniotic fluid in the vaginal vault.
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Answer Choices:
A. Expect some breast dimpling or discharge with age.
B. Using the palm of the hand, feel for lumps using a circular motion.
C. Breasts can be examined in the shower with soapy hands.
D. For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation.
A nurse is assessing a postpartum client who is exhibiting tearfulness, insomnia, lack of appetite, and a feeling of letdown. The nurse knows these findings are characteristics of:
Answer Choices:
A. Postpartum depression.
B. The letting-go phase.
C. Postpartum psychosis.
D. Postpartum fatigue.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4