ATI RN
Respiratory Pediatric Nursing Questions
Question 1 of 5
The nurse explained to the mother that according to Erikson's framework of psychosocial development, play is a vehicle for development and can help the school-age child develop a sense of...
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 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 3 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 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: 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.
Question 5 of 5
A postpartum patient would be at increased risk for postpartum hemorrhage if she delivered a(n)
Correct Answer: B
Rationale: The correct answer is B because a rapid labor and birth may cause exhaustion of the uterine muscle and prevent contraction, increasing the risk of postpartum hemorrhage. Delivering a 5lb, 2oz infant with outlet forceps would put the patient at risk for lacerations due to forceps use. A 7lb infant after an 8 hour labor is a normal progression, and an 8lb infant after a 12 hour labor is also a normal progression.