ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 of 5
The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
Correct Answer: B
Rationale: For some women, ovulation resumes as early as 3 weeks postpartum. Therefore contraceptive measures are important considerations when sexual relations are resumed for lactating and nonlactating women. Further teaching would be needed if the patient does not feel any need for birth control with breastfeeding and supplementing with formula. The first stool usually occurs within 2 to 3 days postpartum. Normal patterns of bowel elimination generally resume by 8 to 14 days after birth.
Question 2 of 5
Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?
Correct Answer: C
Rationale: Positive reinforcement of the mother's attempt to provide care to the newborn will promote a healthy self-concept. The mother needs encouragement during this vulnerable time, not criticism or false reassurance. By praising her efforts, the nurse can help boost the mother's confidence in her caregiving abilities.
Question 3 of 5
If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?
Correct Answer: D
Rationale: In the context of subinvolution of the uterus, where the uterus fails to return to its normal size after childbirth, if nonsurgical treatments such as medications or interventions like antibiotics or uterine massage are ineffective, a surgical procedure like dilation and curettage (D&C) may be necessary. D&C involves scraping the uterine lining to remove any retained placental tissue, clots, or debris that may be causing the subinvolution. This procedure helps promote proper involution of the uterus. Option A, hysterectomy, involves the removal of the uterus entirely and is not typically indicated for subinvolution unless there are severe complications. Option B, laparoscopy, is a minimally invasive procedure used for diagnostic purposes or to perform certain surgeries, but it is not the primary choice for addressing subinvolution. Option C, laparotomy, involves a larger abdominal incision and is usually reserved for more complex cases, not for subinvolution. Educationally, it is important for nursing students preparing for the NCLEX to understand the various treatment options for postpartum complications like subinvolution. Knowing when surgical interventions are necessary and the appropriate procedures for specific conditions is crucial for providing safe and effective care to postpartum patients. Understanding the rationale behind each treatment option helps nurses make informed decisions and advocate for their patients' health and well-being.
Question 4 of 5
A patient with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?
Correct Answer: B
Rationale: The correct answer is B because the organisms that cause mastitis are localized in the breast tissue and are not passed through the breast milk to the infant. This means that the infant is not at risk of infection from breastfeeding during mastitis. While immunoglobulins in breast milk can protect infants from other infections, they do not protect against the specific organisms causing mastitis. Additionally, gastric acid does not inactivate these organisms.
Question 5 of 5
Which patient data received during report should the nurse recognize as being at risk for postpartum complications?
Correct Answer: A
Rationale: Multiparity (five or more deliveries) is a risk factor for postpartum uterine atony and hemorrhage. A labor duration of 4 hours is not a risk factor because it is not a precipitate labor and birth (less than 3 hours), infant weight of 3800g is not a risk factor because the infant is not macrosomic, and epidural anesthesia is not a risk factor because it does not affect uterine contractions.