ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
The mother tells the nurse that her other child, a 4-year-old boy, has developed some 'strange eating habits', including not finishing meals and eating the same foods for several days in a row. She would like to develop a plan to correct this situation. In developing such a plan, the nurse and mother should consider...
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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: An increase in WBC count to 25,000/mm³ during the postpartum period is considered normal and not a sign of infection. The nurse should document the finding. There is no reason to alert the health care provider. Antibiotics are not needed because the elevated WBCs are caused by the stress of labor and not an infectious process. There is no need for reassessment as it is expected for the WBCs to be elevated.
Question 3 of 5
To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?
Correct Answer: C
Rationale: The lochia of the cesarean birth mother will go through the same phases as that of the woman who had a vaginal birth; however, the amount will be reduced. The finding of a saturated pad is abnormal, even after breastfeeding, and an indication of hemorrhage. The health care provider needs to be notified immediately. Weighing the peripad will give an estimation of the blood loss; but, this assessment can result in a delay of care. Replacing the peripad and documentation of the findings are appropriate when the data are within normal limits.
Question 5 of 5
The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient's lochia was scant rubra. On initial assessment, the oncoming nurse notes the patient's peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse's priority action with this finding?
Correct Answer: C
Rationale: Saturated peripad with lochia rubra after cesarean birth indicates abnormal bleeding and potential hemorrhage. The nurse's priority action should be to contact the health care provider immediately for further assessment and intervention. Weighing the peripad can provide an estimation of blood loss but may cause a delay in care. Replacing the peripad and documenting the finding are appropriate actions but not the priority when facing potential hemorrhage.