Practice Question
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Answer Choices:
Correct Answer:
Palpate the client's uterine fundus.
Rationale:
🥟The priority in postpartum hemorrhage is to assess for uterine atony, the most common cause.
🥟A boggy, non-firm uterus fails to contract effectively and leads to excessive bleeding.
🥟Palpating the fundus allows the nurse to determine whether it’s firm and midline, guiding the next steps.
🥟 Fundal massage may follow if the uterus is atonic.
🥟Oxytocics can be given afterward, but assessment always comes first.
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This question is from RN Nutrition 2023 Exam 1 which contains 62 questions.
More Questions from This Exam
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Answer Choices:
A. Less than 2.5 cm of rubra lochia on perineal pad
B. Client report of increased thirst
C. Fundus palpable to right of midline
D. Client report of frequent uterine contractions
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?
Answer Choices:
A. Initiate early feeding.
B. Suction excess mucus with a bulb syringe.
C. Prepare for an exchange blood transfusion.
D. Begin phototherapy.
A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?
Answer Choices:
A. Caput succedaneum
B. Pilonidal dimple
C. Cephalhematoma
D. Molding
A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, "Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?
Answer Choices:
A. "There are so many variables that have to ask your obstetrician:
B. "The primary consideration is what type of incision was performed this time."
C. A repeat cesarean birth is safer for both you and your baby."
D. "It's too soon for you to be worrying about this now.
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Answer Choices:
A. Place an identification bracelet.
B. Administer eye prophylaxis.
C. Administer vitamin K.
D. Dry the skin.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Nutrition
- Answer Choices: 4