ATI Nursing Care of Children Maternal Newborn Assessment

Extract:

A client who is postpartum and is taking docusate sodium to prevent constipation

Question 1 of 5

A nurse is reinforcing teaching with a client who is postpartum and is taking docusate sodium to prevent constipation. Which of the following instructions should the nurse include?

A. Take this medication every day for regular bowel movements.B. Take the medication with mineral oil.C. Decrease dietary fiber intake while taking this medication.D. Take the medication with a full glass of water.

Correct Answer: D

Rationale: Taking docusate sodium with a full glass of water aids stool softening, enhancing its effectiveness, unlike daily use (risks dependence), mineral oil (adverse effects), or reduced fiber (counterproductive).

Extract:

A 9-year-old client who is immediately postoperative, nonverbal, and has both cognitive and developmental delays

Question 2 of 5

A nurse is caring for a 9-year-old client who is immediately postoperative. The client is nonverbal and has both cognitive and developmental delays. Which of the following pain scales should the nurse use to evaluate the client's pain?

A. FACES Scale.B. Numerical scale.C. FLACC pain assessment scale.D. Visual analog scale.

Correct Answer: C

Rationale: The FLACC scale assesses pain through observable behaviors, ideal for nonverbal, developmentally delayed clients, unlike FACES, numerical, or visual analog scales, which require verbal or cognitive input.

Extract:

A client who is receiving epidural anesthesia for pain management during labor

Question 3 of 5

A nurse is assisting with the care of a client who is receiving epidural anesthesia for pain management during labor. Which of the following actions should the nurse take?

A. Remind the client to void every 4 hr.B. Encourage the client to alternate from side to side every 2 hr.C. Raise the four side rails on the client's bed.D. Monitor the client's blood pressure.

Correct Answer: D

Rationale: Monitoring blood pressure detects epidural-induced hypotension, a critical safety measure, unlike voiding reminders (inappropriate due to bladder sensation loss), side-to-side movement (unrelated), or raising all side rails (not standard).

Extract:

A parent of a school-age child who has tonic-clonic seizures

Question 4 of 5

A nurse is reinforcing teaching with a parent of a school-age child who has tonic-clonic seizures. Which of the following statements should the nurse make regarding care during a seizure?

A. You should offer your child sips of clear liquids.B. You should gently restrain your child using both of your arms.C. You should place your child's head on a pillow.D. You should give rectal diazepam to your child at the onset of the seizure.

Correct Answer: C

Rationale: Placing the head on a pillow protects against injury during a seizure, unlike offering liquids (aspiration risk), restraining (injury risk), or giving diazepam (requires prescription).

Extract:

An infant who has Hirschsprung's disease

Question 5 of 5

A nurse is collecting data from an infant who has Hirschsprung's disease. Which of the following manifestations should the nurse expect?

A. Abdominal distention.B. Steatorrhea.C. Blood-tinged emesis.D. Dysphagia.

Correct Answer: A

Rationale: Abdominal distention results from functional obstruction in Hirschsprung's disease, unlike steatorrhea (pancreatic issues), blood-tinged emesis (GI bleeding), or dysphagia (esophageal issues).

ATI Nursing Care of Children Maternal Newborn Assessment | Nurselytic

Nurselytic

ATI RN

ATI RN