ATI RN
Respiratory Pediatric Nursing Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Nursing measures that help prevent postpartum urinary tract infection include
Correct Answer: A
Rationale: Adequate fluid intake prevents urinary stasis, dilutes urine, and flushes out waste products, reducing the risk of urinary tract infections. Early ambulation, not bed rest, is encouraged postpartum. Acidifying drinks like cranberry juice can also help prevent infections. Delaying voiding can lead to urinary stasis and increase the risk of infection.
Question 5 of 5
If the nurse suspects a complication of a low forceps birth labor, she should immediately
Correct Answer: B
Rationale: A low forceps birth can result in significant vaginal trauma. Therefore, the nurse should immediately assess the perineal and vaginal areas to determine the extent of trauma and provide appropriate care. Administering analgesics, assessing the uterine fundus position, or reviewing the labor record will not provide immediate information on the extent of vaginal trauma and may delay necessary interventions.