ATI RN
NCLEX Pediatric Respiratory Wong Nursing Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse notes that the fundus of a postpartum patient is boggy, shifted to the left of the midline, and 2 cm above the umbilicus. What is the nurse's priority action?
Correct Answer: A
Rationale: The nurse's priority action when the fundus is not firm is to massage it until it becomes firm and to express any clots that may have accumulated. This helps the uterus contract effectively. Other actions such as assisting the patient to void, increasing oxytocin infusion, or bringing in a straight catheter tray are not the immediate priority in this situation.
Question 5 of 5
A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?
Correct Answer: B
Rationale: Hypothermia can lead to metabolic acidosis in newborns. Cold stress increases oxygen demands and metabolism of glucose in the absence of sufficient oxygen can result in increased production of acids, leading to metabolic acidosis. Monitoring for metabolic acidosis is crucial in this scenario to prevent life-threatening complications. The other options, such as hyperglycemia, respiratory acidosis, and vasodilation of peripheral blood vessels, do not directly relate to the complication of hypothermia.