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ATI RN · ATI Maternal Newborn · Complication Postpartum

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

On admission to the labor and delivery unit, a client 's hemoglobin (Hgb) was assessed at 11.0 g/dL, and her hematocrit (Hct) at 33%. Which of the following values would the nurse expect to see 2 days after a normal spontaneous vaginal delivery?

A. Hgb 12.5 g/dL; Hct 37%.

B. Hgb 11.0 g/dL; Hct 33%.

C. Hgb 10.5 g/dL; Hct 31%.

D. Hgb 9.0 g/dL; Hct 27%.

Expert Explanatory Rationale

Correct Answer: Hgb 10.5 g/dL; Hct 31%.

Question 2 of 5

The nurse should warn a client who is about to receive Methergine (ergonovine) of which of the following side effects?

A. Headache.

B. Nausea.

C. Cramping.

D. Fatigue.

Expert Explanatory Rationale

Correct Answer: Headache.

Question 3 of 5

What important assessment should the nurse perform on all postpartum persons?

A. Screen for PPD with the EPDS.

B. Screen for drug use with a urine drug screen.

C. Screen for breast-feeding failure.

D. Screen for contraception contraindications.

Expert Explanatory Rationale

Correct Answer: Screen for PPD with the EPDS.

Question 4 of 5

A breastfeeding woman, 1 1/2 months postdelivery, calls the nurse in the obstetrician 's office and states, 'I am very embarrassed but I need help. Last night I had an orgasm when my husband and I were making love. You should have seen the milk. We were both soaking wet. What is wrong with me? ' The nurse should base the response to the client on which of the following?

A. The woman is exhibiting signs of pathological galactorrhea.

B. The same hormone stimulates orgasms and the milk ejection reflex.

C. The woman should have a serum galactosemia assessment done.

D. The baby is stimulating the woman to produce too much milk.

Expert Explanatory Rationale

Correct Answer: The same hormone stimulates orgasms and the milk ejection reflex.

Question 5 of 5

The nurse is providing care for a patient who is 8 hours postpartum after a vaginal delivery. The patient reports severe perineal pain unaffected by pain medication. The nurse notices a 4 cm area of discoloration on the labia that is tender to the touch. Which action does the nurse take?

A. Continue to apply ice to the area for 24 hours.

B. Monitor vital signs and report any abnormal readings.

C. Contact the primary care provider for further evaluation.

D. Relieve pressure by placing patient in a side-lying position.

Expert Explanatory Rationale

Correct Answer: Contact the primary care provider for further evaluation.

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