A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth.

Which of the following clinical findings should the nurse identify as an indication of

postpartum infection?

a. Unilateral breast pain i. Mastitis - painful or tender localized hard mass and reddened area, usually on one

breast. (Pg. 143) b. Persistent abdominal striae

i. Stretch marks - expected finding

c. Lochia alba

i. Lasts approx day 11 up to 4-8 weeks post-birth

d. WBC count 12,000/mm3

2. A nurse is assessing client who has preeclampsia during a prenatal visit.

Which of the following findings should the nurse report to the provider?

a. Blood glucose 110 mg/dL

b. Deep

tendon reflexes of

2+c. Urine

protein of 3+

i. Severe preeclampsia: consists of blood pressure that is 160/110 mmHg or greater,

proteinuria greater than 3+, oliguria, elevated serum creatinine greater than 1.1 mg/dL,

cerebral or visual disturbances (headache and blurred vision), hyperreflexia with possible

ankle clonus, pulmonary or cardiac involvement, extensive peripheral edema, hepatic

dysfunction, epigastric and right upper-quadrant pain, and thrombocytopenia. (pg. 60) d. Hemoglobin 13 g/dL

3. A nurse is providing teaching about the expected effects of magnesium

sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which

of the following responses by the nurse is appropriate?

a. “This medication improves tissue perfusion.” b. “This medication increases cardiac output.”

c. “This medication stabilizes the fetal heart rate.”

d. “This medication prevents seizures.”

i. Depresses CNS. (Pg 61) ATI Maternal newborn 2

4. A nurse is teaching a prenatal class regarding false labor. Which of the following

information should the nurse include? (pg 76)

a. “You will have dilation and effacement of the cervix.”

i. Sign of true labor

b. “Your contractions will become temporarily regular.” . “You will have bloody show.”

i. Sign of true labor

d. “Your contractions will become more intense when walking.”

i. Sign of true labor

5. A nurse manager is revising a maternal unit policy to ensure proper

identification of newborns. Which of the following should the nurse include in the

policy?

a. Check the newborn’s identification using the crib card.

b. Replace the infant’s identification band after his name has been recorded.

c. Require visitors to wear an identification band