ATI Detailed Answer Key Postpartum & Newborn_Practice Questions

ATI Detailed Answer Key Postpartum & Newborn_Practice Questions1. A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective? A. Fundus firm to palpation Rationale: Methylergonovine is an oxytocic medication that is administered to promote uterine contractions. This medication is indicated for treatment of postpartum hemorrhage caused by uterine atony or subinvolution; the desired effect is an increase in uterine tone. B. Increase in blood pressure Rationale: A rise in blood pressure is an adverse effect of the medication. C. Increase in lochia Rationale: This finding would indicate the medication was not effective. D. Report of absent breast pain Rationale: Methylergonovine has no effect on breast discomfort. 2. A nurse is assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority? A. Saturated perineal pad in 30 min Rationale: The client will have lochia rubra for the first 1 to 3 days. A saturated perineal pad in 15 min or less can indicate excessive bleeding. Therefore, the nurse should not identify this as the priority finding. The nurse should also monitor for blood under the client's buttocks. B. Deep tendon reflexes 4+