ATI PN MATERNAL NEWBORN PROCTORED OB EXAM 3 REVIEW

1. A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hr. ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage? - Precipitous birth. 2. A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take? o Cover the client with warm blankets. 3. A nurse is reinforcing discharging teaching with a client who is 2 days postpartum. Which of the following statements should the nurse include in the teaching? o "You should wash your hands before and after using the bathroom and before breastfeeding the baby." 4. A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm. Which of the following recommendations should the nurse give the client? o Express milk from both breasts. 5. A nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include? - Sleep as much as possible.lOMoAR cPSD| 6. A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following? o Postpartum hemorrhage. 7. A nurse is caring for a postpartum client who saturates a perineal pad in 10 min. Which of the following actions should the nurse take first? o Massage the client’s fundus. 8. A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the following findings indicates mastitis? o Red and painful area in one breast. 9. A nurse is collecting data from a client who is 1 day postpartum. Which of the following findings requires immediate intervention by the nurse? o Displaced fundus from the midline. 10. A nurse is reinforcing discharge teaching with a client who is 3 days following a cesarean birth. Which of the following client statements indicates that the teaching was effective? (Select all that apply.) o "My partner and I will use a condom until I can get an intrauterine device." o "I will call my provider if I have discharge from my incision." o "I should not have unrelieved pain in my abdomen."lOMoAR cPSD| 11. A nurse is caring for a client who has unrelieved episiotomy pain 8 hr. following delivery. Which of the following actions should the nurse take? o Apply an icepack to the perineum. 12. A nurse is receiving report about assigned clients at the start of his shift. Which of the following clients should the nurse plan to attend to first? o A client who experienced a cesarean birth 4 hr. ago and reports pain. 13. The nurse should observe for parent-infant interactions that dictate a need for additional interventions. Some of these might include: (Select all that apply) o Discussing the infant in negative terms o Failure to identify their infant's communications o Avoidance of eye contact 14. A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication? o Fundal consistency. 15. A nurse is caring for a client who is one day post episiotomy. Which nursing assessment suggests infection of an episiotomy? o Redness of the perineum with separation of the suture line.