ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
'Which statement by a postpartum client indicates that further teaching is not needed regarding
thrombus formation?
a. I'll keep my legs elevated with pillows.
b. I'll sit in my rocking chair most of the time.
c. I'll stay in bed for the first 3 days after my baby is born.
d. I'll put my support stockings on every morning before rising. - (ANSWER)d. I'll put my support
stockings on every morning before rising.
Venous congestion begins as soon as the client stands up. The stockings should be applied before she
rises from the bed in the morning. The client should avoid knee pillows because they increase pressure
on the popliteal space. Sitting in a chair with legs in a dependent position causes pooling of blood in the
lower extremities. As soon as possible, the client should ambulate frequently.
The nurse knows that late postpartum hemorrhage can be prevented by:
a. manually removing the placenta.
b. inspecting the placenta after birth.
c. administering broad-spectrum antibiotics.
d. pulling on the umbilical cord to hasten the birth of the placenta. - (ANSWER)b. inspecting the placenta
after birth.
If a portion of the placenta is missing, the clinician can explore the uterus, locate the missing fragments,
and remove the potential cause of late postpartum hemorrhage. Manual removal of the placenta
increases the risk of postpartum hemorrhage. Broad-spectrum antibiotics will be given if postpartum
infection is suspected. The placenta is usually delivered 5 to 30 minutes after birth of the baby without
pulling on the cord. That can cause uterine inversion.
A multiparous client is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant.
Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the client void and
massages her fundus, but the fundus remains difficult to find and the rubra lochia remains heavy. Which
action should the nurse take next?
a. Recheck vital signs.
,ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
b. Insert a Foley catheter.
c. Notify the health care provider.
d. Continue to massage the fundus. - (ANSWER)c. Notify the health care provider.
Treatment of excessive bleeding requires the collaboration of the health care provider and the nurses.
Do not leave the client alone. The nurse should call the clinician while a second nurse rechecks the vital
signs. The client has voided successfully, so a Foley catheter is not needed at this time. The uterine
muscle can be overstimulated by massage, leading to uterine atony and rebound hemorrhage.
Early postpartum hemorrhage is defined as a blood loss greater than:
a. 500 mL within 24 hours after a vaginal birth.
b. 750 mL within 24 hours after a vaginal birth.
c. 1000 mL within 48 hours after a cesarean birth.
d. 1500 mL within 48 hours after a cesarean birth. - (ANSWER)b. 750 mL within 24 hours after a vaginal
birth.
The average amount of bleeding after a vaginal birth is 500 mL. Early postpartum hemorrhage occurs in
the first 24 hours, not 48 hours. Blood loss after a cesarean averages 1000 mL. Late postpartum
hemorrhage is 48 hours and later.
A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:
a. uterine atony.
b. perineal hematoma.
c. infection of the uterus.
d. lacerations of the genital tract. - (ANSWER)d. lacerations of the genital tract.
Undetected lacerations will bleed slowly and continuously. Bleeding from lacerations is uncontrolled by
uterine contraction. The fundus would not be firm with uterine atony. A hematoma would be internal.
Swelling and discoloration would be noticed, but bright bleeding would not be. With an infection of the
uterus, there would be an odor to the lochia and systemic symptoms such as fever and malaise.
,ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
A postpartum client would be at increased risk for postpartum hemorrhage if she delivered a(n):
a. 5-lb, 2-oz infant with outlet forceps.
b. 6.5-lb infant after a 2-hour labor.
c. 7-lb infant after an 8-hour labor.
d. 8-lb infant after a 12-hour labor. - (ANSWER)b. 6.5-lb infant after a 2-hour labor.
A rapid labor and birth may cause exhaustion of the uterine muscle and prevent contraction. Delivering
a 5-lb, 2-oz infant with outlet forceps would put this client at risk for lacerations because of the forceps.
A 7-lb infant after an 8-hour labor is a normal labor progression. Less than 3 hours is rapid and can
produce uterine muscle exhaustion. An 8-lb infant after a 12-hour labor is a normal labor progression.
Less than 3 hours is a rapid birth and can cause the uterine muscles not to contract.
Which instruction should be included in the discharge teaching plan to assist the client in recognizing
early signs of complications?
a. Palpate the fundus daily to ensure that it is soft.
b. Report any decrease in the amount of brownish red lochia.
c. The passage of clots as large as an orange can be expected.
d. Notify the health care provider of any increase in the amount of lochia or a return to bright red
bleeding. - (ANSWER)d. Notify the health care provider of any increase in the amount of lochia or a
return to bright red bleeding.
An increase in lochia or a return to bright red bleeding after the lochia has become pink indicates a
complication. The fundus should stay firm. The lochia should decrease in amount. Large clots after
discharge are a sign of complications and should be reported.
The nurse should expect medical intervention for subinvolution to include:
a. oral fluids to 3000 mL/day.
b. intravenous fluid and blood replacement.
c. oxytocin intravenous infusion for 8 hours.
, ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
d. oral methylergonovine maleate (Methergine) for 48 hours. - (ANSWER)d. oral methylergonovine
maleate (Methergine) for 48 hours.
Methergine provides long-sustained contraction of the uterus. There is no correlation between
dehydration and subinvolution. There is no indication that excessive blood loss has occurred. Oxytocin
provides intermittent contractions.
If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to
correct the cause of this condition?
a. Hysterectomy
b. Laparoscopy
c. Laparotomy
d. Dilation and curettage (D&C) - (ANSWER)d. Dilation and curettage (D&C)
D&C allows examination of the uterine contents and removal of any retained placenta or membranes.
Hysterectomy is not indicated for this condition. A hysterectomy is the removal of the uterus.
Laparoscopy is not indicated for this condition. A laparoscopy is the insertion of an endoscope through
the abdominal wall to examine the peritoneal cavity. Laparotomy is not indicated for this condition. A
laparotomy is a surgical incision into the peritoneal cavity to explore the peritoneal cavity.
A sign of thrombophlebitis is:
a. visible varicose veins.
b. positive Homans sign.
c. pedal edema in the affected leg.
d. local tenderness, heat, and swelling. - (ANSWER)d. local tenderness, heat, and swelling.
Tenderness, heat, and swelling are classic signs of thrombophlebitis that appear at the site of the
inflammation. Varicose veins may predispose the client to thrombophlebitis, but are not a sign. A
positive Homans sign is indicative of deep vein thrombosis (DVT).
GUARANTEED
'Which statement by a postpartum client indicates that further teaching is not needed regarding
thrombus formation?
a. I'll keep my legs elevated with pillows.
b. I'll sit in my rocking chair most of the time.
c. I'll stay in bed for the first 3 days after my baby is born.
d. I'll put my support stockings on every morning before rising. - (ANSWER)d. I'll put my support
stockings on every morning before rising.
Venous congestion begins as soon as the client stands up. The stockings should be applied before she
rises from the bed in the morning. The client should avoid knee pillows because they increase pressure
on the popliteal space. Sitting in a chair with legs in a dependent position causes pooling of blood in the
lower extremities. As soon as possible, the client should ambulate frequently.
The nurse knows that late postpartum hemorrhage can be prevented by:
a. manually removing the placenta.
b. inspecting the placenta after birth.
c. administering broad-spectrum antibiotics.
d. pulling on the umbilical cord to hasten the birth of the placenta. - (ANSWER)b. inspecting the placenta
after birth.
If a portion of the placenta is missing, the clinician can explore the uterus, locate the missing fragments,
and remove the potential cause of late postpartum hemorrhage. Manual removal of the placenta
increases the risk of postpartum hemorrhage. Broad-spectrum antibiotics will be given if postpartum
infection is suspected. The placenta is usually delivered 5 to 30 minutes after birth of the baby without
pulling on the cord. That can cause uterine inversion.
A multiparous client is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant.
Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the client void and
massages her fundus, but the fundus remains difficult to find and the rubra lochia remains heavy. Which
action should the nurse take next?
a. Recheck vital signs.
,ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
b. Insert a Foley catheter.
c. Notify the health care provider.
d. Continue to massage the fundus. - (ANSWER)c. Notify the health care provider.
Treatment of excessive bleeding requires the collaboration of the health care provider and the nurses.
Do not leave the client alone. The nurse should call the clinician while a second nurse rechecks the vital
signs. The client has voided successfully, so a Foley catheter is not needed at this time. The uterine
muscle can be overstimulated by massage, leading to uterine atony and rebound hemorrhage.
Early postpartum hemorrhage is defined as a blood loss greater than:
a. 500 mL within 24 hours after a vaginal birth.
b. 750 mL within 24 hours after a vaginal birth.
c. 1000 mL within 48 hours after a cesarean birth.
d. 1500 mL within 48 hours after a cesarean birth. - (ANSWER)b. 750 mL within 24 hours after a vaginal
birth.
The average amount of bleeding after a vaginal birth is 500 mL. Early postpartum hemorrhage occurs in
the first 24 hours, not 48 hours. Blood loss after a cesarean averages 1000 mL. Late postpartum
hemorrhage is 48 hours and later.
A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests:
a. uterine atony.
b. perineal hematoma.
c. infection of the uterus.
d. lacerations of the genital tract. - (ANSWER)d. lacerations of the genital tract.
Undetected lacerations will bleed slowly and continuously. Bleeding from lacerations is uncontrolled by
uterine contraction. The fundus would not be firm with uterine atony. A hematoma would be internal.
Swelling and discoloration would be noticed, but bright bleeding would not be. With an infection of the
uterus, there would be an odor to the lochia and systemic symptoms such as fever and malaise.
,ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
A postpartum client would be at increased risk for postpartum hemorrhage if she delivered a(n):
a. 5-lb, 2-oz infant with outlet forceps.
b. 6.5-lb infant after a 2-hour labor.
c. 7-lb infant after an 8-hour labor.
d. 8-lb infant after a 12-hour labor. - (ANSWER)b. 6.5-lb infant after a 2-hour labor.
A rapid labor and birth may cause exhaustion of the uterine muscle and prevent contraction. Delivering
a 5-lb, 2-oz infant with outlet forceps would put this client at risk for lacerations because of the forceps.
A 7-lb infant after an 8-hour labor is a normal labor progression. Less than 3 hours is rapid and can
produce uterine muscle exhaustion. An 8-lb infant after a 12-hour labor is a normal labor progression.
Less than 3 hours is a rapid birth and can cause the uterine muscles not to contract.
Which instruction should be included in the discharge teaching plan to assist the client in recognizing
early signs of complications?
a. Palpate the fundus daily to ensure that it is soft.
b. Report any decrease in the amount of brownish red lochia.
c. The passage of clots as large as an orange can be expected.
d. Notify the health care provider of any increase in the amount of lochia or a return to bright red
bleeding. - (ANSWER)d. Notify the health care provider of any increase in the amount of lochia or a
return to bright red bleeding.
An increase in lochia or a return to bright red bleeding after the lochia has become pink indicates a
complication. The fundus should stay firm. The lochia should decrease in amount. Large clots after
discharge are a sign of complications and should be reported.
The nurse should expect medical intervention for subinvolution to include:
a. oral fluids to 3000 mL/day.
b. intravenous fluid and blood replacement.
c. oxytocin intravenous infusion for 8 hours.
, ATI OB DETAILED ANSWER KEY TEST BANK 250 QUESTIONS WITH 100% CORRECT ANSWERS/A+ GRADE
GUARANTEED
d. oral methylergonovine maleate (Methergine) for 48 hours. - (ANSWER)d. oral methylergonovine
maleate (Methergine) for 48 hours.
Methergine provides long-sustained contraction of the uterus. There is no correlation between
dehydration and subinvolution. There is no indication that excessive blood loss has occurred. Oxytocin
provides intermittent contractions.
If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to
correct the cause of this condition?
a. Hysterectomy
b. Laparoscopy
c. Laparotomy
d. Dilation and curettage (D&C) - (ANSWER)d. Dilation and curettage (D&C)
D&C allows examination of the uterine contents and removal of any retained placenta or membranes.
Hysterectomy is not indicated for this condition. A hysterectomy is the removal of the uterus.
Laparoscopy is not indicated for this condition. A laparoscopy is the insertion of an endoscope through
the abdominal wall to examine the peritoneal cavity. Laparotomy is not indicated for this condition. A
laparotomy is a surgical incision into the peritoneal cavity to explore the peritoneal cavity.
A sign of thrombophlebitis is:
a. visible varicose veins.
b. positive Homans sign.
c. pedal edema in the affected leg.
d. local tenderness, heat, and swelling. - (ANSWER)d. local tenderness, heat, and swelling.
Tenderness, heat, and swelling are classic signs of thrombophlebitis that appear at the site of the
inflammation. Varicose veins may predispose the client to thrombophlebitis, but are not a sign. A
positive Homans sign is indicative of deep vein thrombosis (DVT).
