ATI RN
Pediatric Respiratory Assessment Nursing Questions
Question 1 of 5
Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?
Correct Answer: A
Rationale: The discomfort of afterpains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone. The uterus of a primipara tends to remain contracted. Afterpains are particularly severe during breastfeeding, not bottle feeding. The non-nursing mother may have engorgement problems that will cause her discomfort. The patient who is nursing her second child will have more afterpains than her first pregnancy; however, they will not be as severe as the grand multiparous patient.
Question 2 of 5
When assessing the A of the acronym REEDA, the nurse should evaluate the
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?
Correct Answer: A
Rationale: During the taking-in phase of maternal adaptation, in which the mother may be passive and dependent, the nurse should encourage bonding when the infant is in the quiet alert stage. This is done best by simply giving the baby to the mother. She learns best during the taking-hold phase. The woman is dependent and passive at this stage and may have difficulty making a decision. This is expected behavior during the taking-in phase; however, interventions that facilitate infant bonding can be taken.
Question 4 of 5
teaching regarding thrombus formation is unnecessary?
Correct Answer: D
Rationale: The correct answer is D because support stockings should be applied before the patient rises from bed in the morning to prevent venous congestion. Choices A, B, and C are incorrect as they do not address the prevention of thrombus formation. It is essential to educate the patient on proper measures to prevent thrombus formation, especially after childbirth when the risk is increased.
Question 5 of 5
Which temperature indicates the presence of postpartum infection?
Correct Answer: D
Rationale: A temperature elevation of greater than 38°C (100.4°F) on two postpartum days, not including the first 24 hours, signifies infection. 37.5°C (99.6°F) in the first 48 hours is expected due to dehydration. To be classified as an infection, the temperature needs to be greater than 38°C (100.4°F). An elevated temperature is anticipated in the first 24 hours after delivery, so it is not a definitive indicator of infection.