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2024 ATI RN Maternal Newborn Exam 2 with All Questions, Answers and Rationale

2024 ATI RN Maternal Newborn Exam 2 with All Questions, Answers and Rationale

2024 ATI RN Maternal Newborn Exam 2 with
All Questions, Answers and Rationale
Question 1:
Adllent, 1 day postpartum, is being monitored after a postpartum hemorrhage.
Which of the following should the nurse report to the obstetrician?
A. Urine output of 200 mL for the past 8 hours.
B. Weight decrease of 2 pounds since delivery.
C. Pulse rate of 65 beats per minute.
D. Drop in hematocrit of 6% since admission.
Show correct answer and explanation
Explanation
Choice a) Urine output of 200 mL for the past 8 hours is incorrect because this is
a normal finding for a postpartum woman. The average urine output for a
healthy adult is about 800 to 2000 mL per day, which means about 100 to 250 mL
per hour. Therefore, a urine output of 200 mL for the past 8 hours is within the
normal range and does not indicate any complications.
Choice b) Weight decrease of 2 pounds since delivery is incorrect because this is
also a normal finding for a postpartum woman. The weight loss is due to the
expulsion of the placenta, amniotic fluid, and blood during delivery. A postpartum
woman can expect to lose about 10 to 12 pounds immediately after giving birth,
and another 5 pounds in the following weeks due to fluid loss. Therefore, a weight
decrease of 2 pounds since delivery is not a cause for concern and does not
need to be reported to the obstetrician.

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