ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
The mother is concerned about the child's compulsion for collecting things. The nurse explains that this behavior is related to the cognitive ability to perform...
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Which measure is optimal in order to prevent abdominal distention following a cesarean birth?
Correct Answer: C
Rationale: Activity can aid the movement of accumulated gas in the gastrointestinal tract. Rectal suppositories can be helpful after distention occurs; however, do not prevent it. Carbonated beverages may increase distention. Ambulation is the best prevention. Abdominal strengthening will not prevent distention.
Question 3 of 5
The nurse is providing care to a patient who delivered a 3525g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority action related to this finding?
Correct Answer: D
Rationale: The location of the uterine fundus helps determine whether involution is progressing normally. Immediately after birth, the uterus is about the size of a large grapefruit or softball and weighs approximately 1000g (2.2 lb). The fundus can be palpated midway between the symphysis pubis and umbilicus in the midline of the abdomen. Within 12 hours, the fundus rises to approximately the level of the umbilicus. This finding is expected and can be followed with documentation. No further action is needed.
Question 4 of 5
A postpartum patient asks, Will these stretch marks ever go away? Which is the nurse's best response?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C because treatment of excessive bleeding requires collaboration with the healthcare provider, especially in cases of persistent heavy bleeding and boggy fundus. Choices A, B, and D are incorrect as they do not address the need for further medical intervention in this situation. It is crucial to involve the healthcare provider promptly to ensure appropriate management of the patient's condition.