ATI RN · ATI Maternal Newborn · Perinatal Loss NCLEX Questions
Full Question & Rationale Repository
Showing all 5 practice questions with expert explanatory rationales.
A client's vital signs and reflexes were normal throughout pregnancy, labor, and delivery. Four hours after delivery the client's vitals are 98.6ËšF, P 72, R 20, BP 150/100, and her reflexes are 4. She has an intravenous infusion running with 20 units of Pitocin (oxytocin) added. Which of the following actions by the nurse is appropriate?
Expert Explanatory Rationale
Correct Answer: Notify the obstetrician of the findings.
A client is 36 hours post-cesarean section. Which of the following assessments would indicate that the client may have a paralytic ileus?
Expert Explanatory Rationale
Correct Answer: Absent bowel sounds.
A client just delivered the placenta pictured below. For which of the following complications should the nurse carefully observe the woman?
Expert Explanatory Rationale
Correct Answer: Postpartum hemorrhage.
The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?
Expert Explanatory Rationale
Correct Answer: Blindness
The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?
Expert Explanatory Rationale
Correct Answer: Increased risk for urinary tract infections.