ATI RN
Perinatal Loss NCLEX Questions Questions
Question 1 of 5
The nurse has taught a new admission to the postpartum unit about pericare. Which of the following indicates that the client understands the procedure?
Correct Answer: C
Rationale: In this scenario, option C is the correct answer because spraying the perineum from front to back is the correct technique for perineal care. This method helps prevent the introduction of bacteria from the rectal area into the urinary tract, reducing the risk of infection. Option A is incorrect because the frequency of performing pericare should be more frequent than twice a day, especially in the immediate postpartum period when the risk of infection is higher. Option B is incorrect as sitting in warm tap water for ten minutes describes sitz bath, not pericare. Option D is incorrect as mixing tap water with hydrogen peroxide is not a recommended method for perineal care as it can be too harsh and disrupt the natural flora of the area. From an educational perspective, it is essential for nurses to teach proper perineal care techniques to postpartum clients to promote healing, prevent infection, and provide comfort. Reinforcing the correct method of pericare ensures optimal outcomes for the client's postpartum recovery. Nurses should emphasize the importance of following evidence-based practices in perineal care to empower clients in self-care practices and promote overall well-being.
Question 2 of 5
A primigravid client attending parenthood classes tells the nurse that there is a history of twins in her family. What should the nurse tell the client?
Correct Answer: B
Rationale: The correct answer is B) Monozygotic twins occur by chance regardless of race or heredity. Educational Rationale: - Monozygotic twins, also known as identical twins, result from a single fertilized egg splitting into two embryos. This process occurs randomly and is not influenced by family history or heredity. - In contrast, dizygotic twins, or fraternal twins, result from the fertilization of two separate eggs by two different sperm. This type of twinning can have a genetic predisposition, such as a family history of dizygotic twins, but not monozygotic twins. - Understanding the difference between monozygotic and dizygotic twinning can help the client in making informed decisions or understanding any potential risks associated with multiple pregnancies. - It is important for healthcare providers to educate clients on the genetic and biological aspects of twinning to promote informed decision-making and address any concerns related to family history or pregnancy outcomes. In summary, the correct answer highlights the random occurrence of monozygotic twins, while the other options provide incorrect information about twinning processes, emphasizing the importance of accurate genetic and reproductive health education for clients.
Question 3 of 5
The topic of physiologic changes that occur during pregnancy is to be included in a parenting class for primigravid clients who are in their first half of pregnancy. Which of the following would be important for the nurse to include in the teaching plan?
Correct Answer: B
Rationale: In a perinatal loss NCLEX question involving a parenting class for primigravid clients, the correct answer is B) Increased risk for urinary tract infections. The physiologic changes during pregnancy, specifically in the first half, include an increase in urinary stasis due to the growing uterus pressing on the bladder. This can lead to incomplete emptying of the bladder, promoting bacterial growth and increasing the risk of urinary tract infections (UTIs). Educating primigravid clients on this aspect is crucial for early detection and prevention of UTIs, which can have serious implications for both the mother and the fetus. Now, let's discuss why the other options are incorrect: A) Decreased plasma volume: During pregnancy, plasma volume actually increases to support the growing fetus and prepare for labor and delivery. C) Increased peripheral vascular resistance: Pregnancy typically leads to a decrease in peripheral vascular resistance to ensure adequate blood flow to the fetus. D) Increased hemoglobin levels: Hemoglobin levels may be slightly diluted due to the expansion of plasma volume, leading to a relative decrease in hemoglobin concentration during pregnancy. Including this information in a parenting class for primigravid clients is essential as it empowers them with knowledge to recognize potential health issues and seek timely medical intervention, contributing to a healthier pregnancy outcome.
Question 4 of 5
A client just delivered the placenta pictured below. For which of the following complications should the nurse carefully observe the woman?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Postpartum hemorrhage. After delivering the placenta, the nurse should carefully observe the woman for signs of postpartum hemorrhage, which is a significant concern in the immediate postpartum period. Postpartum hemorrhage is defined as excessive bleeding of 500ml or more within the first 24 hours following childbirth. This complication can lead to maternal morbidity and mortality if not promptly addressed. Therefore, close monitoring and prompt intervention are crucial. Option A) Endometrial ischemia is incorrect because it is not a common complication following placental delivery. While inadequate blood flow to the endometrium can lead to issues like delayed involution, it is not the primary concern immediately post-delivery. Option C) Prolapsed uterus is incorrect as this typically occurs when the uterus descends into or outside the vaginal canal, which is not related to the delivery of the placenta. Option D) Vaginal hematoma is incorrect as it refers to localized bleeding into the soft tissues of the vagina and is not directly related to the delivery of the placenta. Educationally, understanding the potential complications in the postpartum period is crucial for nurses caring for women after delivery. Recognizing and managing postpartum hemorrhage promptly is vital to ensure the well-being of the mother. This knowledge is essential for nurses working in labor and delivery, postpartum units, and any setting where they may encounter women in the postpartum period.
Question 5 of 5
A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast. Upon inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is appropriate?
Correct Answer: B
Rationale: The correct answer is B) Encourage the woman to breastfeed frequently. Rationale: Encouraging the woman to breastfeed frequently on the affected breast helps to empty the breast and prevent milk stasis, which can worsen mastitis. Continued breastfeeding also helps in clearing the infection and promoting faster recovery. It is safe for the infant to breastfeed from the affected breast as the milk is still safe for the baby. Option A) advising the woman to apply ice packs to her breasts is incorrect as ice packs can worsen the condition by decreasing milk flow and causing further stasis. Option C) informing the woman to wean immediately is not recommended as breastfeeding should continue to help clear the infection and prevent further complications. Option D) directing the woman to notify her pediatrician is not the priority in this situation. The woman should be guided on appropriate nursing interventions to manage mastitis effectively. Educational Context: Teaching nursing interventions for mastitis is crucial in providing comprehensive care to breastfeeding mothers. Educating on the importance of continued breastfeeding, proper latch techniques, frequent nursing, and ensuring adequate rest and hydration are key components in managing mastitis effectively and promoting successful breastfeeding.