ATI TESTBANK QUESTIONS- OB EXAM
#2 PART V EXAM QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
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. - ANS 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.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,d. pulling on the umbilical cord to hasten the birth of the placenta. - ANS 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.
b. Insert a Foley catheter.
c. Notify the health care provider.
d. Continue to massage the fundus. - ANS 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. - ANS b. 750 mL within 24 hours after a
vaginal birth.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. - ANS 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.
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. - ANS 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.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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. - ANS 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.
d. oral methylergonovine maleate (Methergine) for 48 hours. - ANS 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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
#2 PART V EXAM QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
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. - ANS 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.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,d. pulling on the umbilical cord to hasten the birth of the placenta. - ANS 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.
b. Insert a Foley catheter.
c. Notify the health care provider.
d. Continue to massage the fundus. - ANS 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. - ANS b. 750 mL within 24 hours after a
vaginal birth.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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. - ANS 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.
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. - ANS 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.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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. - ANS 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.
d. oral methylergonovine maleate (Methergine) for 48 hours. - ANS 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
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
