Practice Question
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Initiate fundal massage.
Rationale:
💎 A boggy uterus after birth suggests uterine atony, the leading cause of postpartum hemorrhage.
💎 The immediate intervention is to initiate firm, consistent fundal massage to stimulate uterine contraction.
💎 Delaying this action to administer medications or oxygen first can allow more blood loss.
💎 For example, a client bleeding heavily with a soft uterus should first receive manual massage, then possibly methylergonovine.
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This question is from RN ATI Mental&Newborn care~NGN-2020 which contains 59 questions.
More Questions from This Exam
A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "I should expect to have burning when I urinate during the third trimester."
B. "l may have an infection if I develop a dark line in the middle of my abdomen."
C. "I should expect my fingers and face to be swollen:
D. "l may develop discoloration on my cheeks from hormonal changes.
A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception.
Answer Choices:
A. BP 120/70 mm Hg
B. Peptic ulcer disease
C. Weight 98 kg (216 lb)
D. History of spontaneous abortion
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Answer Choices:
A. Umbilical area
B. Suprapubic area
C. Above the left iliac crest
D. Below the liver border on the right abdomen
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "l will place a heat pack to the area several times a day.
B. "l will apply witch hazel pads after urination."
C. "l will use the numbing spray prior to cleansing the area."
D. "l will remain in the sitz bath for 10 minutes."
A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, "I am breastfeeding and would like to use a birth control pill." Which of the following statements should the nurse make?
Answer Choices:
A. "Progestin-only birth control pills are preferred for contraception during lactation."
B. "Taking birth control pills while breastfeeding can increase your risk for breast cancer.
C. "You do not need birth control pills as long as you are lactating."
D. "Birth control pills are contraindicated for breastfeeding clients.-
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4