ATI Pediatrics Test Bank

ATI Pediatrics Test Bank Related

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A postpartum client is experiencing heavy lochia and a boggy uterus. What should be the nurse's initial action?

  • A. Administer a uterotonic medication
  • B. Encourage the client to void
  • C. Perform fundal massage
  • D. Increase the client's fluid intake
Correct Answer: C

Rationale: The correct initial action for a postpartum client experiencing heavy lochia and a boggy uterus is to perform fundal massage. Fundal massage helps to firm the uterus and reduce bleeding by promoting uterine contractions, which can assist in preventing postpartum hemorrhage. Administering uterotonic medication may be necessary in some cases but should not be the initial action. Encouraging the client to void and increasing fluid intake can be important interventions but are not the priority in this situation where immediate uterine firmness is needed to control bleeding.

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A new parent is concerned because their newborn's stools are loose and yellow. The healthcare provider should explain that this is:

  • A. A sign of dehydration
  • B. A normal finding in breastfed infants
  • C. Indicative of an infection
  • D. Due to lactose intolerance
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The healthcare provider is assessing a newborn for signs of hypoglycemia. Which finding is consistent with hypoglycemia?

  • A. Jitteriness
  • B. Flushed skin
  • C. Quiet alert state
  • D. Strong cry
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The healthcare provider is caring for a newborn who is 2 days old. Which finding should be reported to the healthcare provider?

  • A. Yellowing of the skin
  • B. Presence of a small amount of blood in the diaper
  • C. Peeling skin on the hands and feet
  • D. Intermittent episodes of sneezing
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The healthcare provider is providing postpartum care to a client who had a vaginal delivery. Which finding would require further assessment?

  • A. Perineal swelling
  • B. Moderate lochia serosa
  • C. Headache unrelieved by analgesics
  • D. Breast engorgement
Correct Answer: C

Rationale: A headache unrelieved by analgesics can be a sign of a serious condition such as preeclampsia, which is a life-threatening condition characterized by high blood pressure and often protein in the urine. Prompt assessment and intervention are crucial to prevent complications for both the mother and baby.

The nurse is assessing a postpartum client's fundus. Where should the nurse expect to find the fundus 24 hours after delivery?

  • A. At the level of the umbilicus
  • B. 1 cm above the symphysis pubis
  • C. At the level of the xiphoid process
  • D. 2 cm below the umbilicus
Correct Answer: A

Rationale: After delivery, the fundus is expected to be at the level of the umbilicus 24 hours postpartum. This position indicates that the uterus is involuting properly. Assessing the fundal height helps monitor the progress of uterine involution and can identify any potential complications like postpartum hemorrhage.

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