Practice Question
A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Answer Choices:
Correct Answer:
Saturated perineal pad in 30 min
Rationale:
🩸 A saturated perineal pad in 30 minutes indicates excessive vaginal bleeding, suggesting postpartum hemorrhage, which is a life-threatening emergency.
🩸 Hemorrhage is the leading cause of maternal morbidity in the immediate postpartum period and requires prompt evaluation and intervention.
🩸 The nurse should immediately assess fundal firmness, massage if boggy, and notify the provider.
🩸 Other findings (e.g., fundus location, DTRs) are important but not emergent.
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This question is from RN ATI Pediatrics Final Exam which contains 62 questions.
More Questions from This Exam
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
Answer Choices:
A. Early decelerations
B. Accelerations
C. Late decelerations
D. variable decelerations
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling "down" and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Answer Choices:
A. Anticipate a prescription by the provider for an antidepressant.
B. Ask the client if she has considered harming her newborn.
C. Reinforce postpartum and newborn care discharge teaching_
D. Assist the family to identify prior use of positive coping skills in family crises.
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Answer Choices:
A. Administer vitamin K.
B. Administer eye prophylaxis.
C. Place an identification bracelet.
D. Dry the skin.
A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
Answer Choices:
A. An excessive amount of amniotic fluid is present.
B. There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid.
C. The fetus is likely to have a congenital anomaly be growth restricted, or demonstrate fetal distress during labor
D. The client is carrying more than one fetus.
A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?
Answer Choices:
A. Pattern of contractions
B. Changes in the cervix
C. Rupture of the membranes
D. Station of the presenting part
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4