ATI RN
Pediatric Respiratory Distress Nursing Interventions Questions
Question 1 of 5
The mother asks the nurse about the child's apparent need for between-meals snacks, especially after school. The nurse and mother develop a nutritional plan for the child, keeping in mind that the child...
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
Correct Answer: D
Rationale: Potential risks to the fetus can occur if pregnancy results within 3 months after rubella vaccine administration. The mother does need to understand potential side effects and that pregnancy is discouraged for 3 months. The mother should be afebrile before the vaccine. Small amounts of the vaccine do cross the breast milk, but it is believed that there is no need to discontinue breastfeeding.
Question 3 of 5
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
If the patient's white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because an increase in WBC count to 25,000/mm3 during the postpartum period is considered normal and not a sign of infection. Therefore, the nurse should simply document the finding. There is no need to inform the health care provider, initiate antibiotic therapy, or request a reanalysis of blood samples in this case.
Question 5 of 5
The nurse understands that late postpartum hemorrhage may be prevented by
Correct Answer: B
Rationale: The correct answer is B because inspecting the placenta after birth can help identify missing fragments and prevent late postpartum hemorrhage. Choices A, C, and D are incorrect as they do not address the prevention of late postpartum hemorrhage. Manual removal of the placenta, pulling on the umbilical cord, and administering antibiotics are not recommended preventive measures for late postpartum hemorrhage.