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ATI LPN · Maternal Newborn Nursing · Obesity in Pregnancy Complications and Maternal Management

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A new mother received epidural anesthesia during labor and had a forceps delivery after pushing 2 hours. At 6 hours PP, her systolic blood pressure has dropped 20 points, her diastolic BP has dropped 10 points, and her pulse is 120 beats per minute. The client is anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the health care provider, the nurse immediately plans to:

A. Monitor fundal height

B. Apply perineal pressure

C. Prepare the client for surgery.

D. Reassure the client

Expert Explanatory Rationale

Correct Answer: Prepare the client for surgery.

Question 2 of 5

Which of the following findings would be expected when assessing the postpartum client?

A. Fundus 1 cm above the umbilicus 1 hour postpartum

B. Fundus 1 cm above the umbilicus on postpartum day 3

C. Fundus palpable in the abdomen at 2 weeks postpartum

D. Fundus slightly to the right; 2 cm above umbilicus on postpartum day 2

Expert Explanatory Rationale

Correct Answer: Fundus 1 cm above the umbilicus 1 hour postpartum

Question 3 of 5

Methergine or pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications, the priority nursing assessment is to check the:

A. Amount of lochia

B. Blood pressure

C. Deep tendon reflexes

D. Uterine tone

Expert Explanatory Rationale

Correct Answer: Blood pressure

Question 4 of 5

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

A. Dysuria

B. Frequency

C. Incontinence

D. Burning

Expert Explanatory Rationale

Correct Answer: Frequency

Question 5 of 5

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

A. Lanugo

B. Hydramnios

C. Meconium

D. Vernix

Expert Explanatory Rationale

Correct Answer: Meconium

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