ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, a serious postpartum complication. The nurse should report this to the provider immediately for further evaluation and intervention to prevent deterioration. Lochia serosa at 3 days postpartum is normal, as is a heart rate of 89/min and blood pressure of 120/70 mm Hg. These vital signs and lochia color suggest normal postpartum recovery. Reporting cool, clammy skin is crucial to prevent potential complications.
Question 2 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period, then subtracting 3 months and adding 1 year. For August 10, adding 7 days gives August 17. Subtracting 3 months gives May 17. This is the estimated date of delivery.
Choice A (May 13) is incorrect because it does not account for the full calculation process.
Choice C (May 3) is incorrect as it is too early based on the calculation.
Choice D (May 20) is incorrect as it is too late based on the calculation.
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. This is the most appropriate action as sore nipples are often caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues that may be causing discomfort for the mother. Waiting 4 hours between feedings (choice
A) can lead to engorgement and decreased milk supply. Limiting breastfeeding time to 5 minutes per breast (choice
C) can prevent the newborn from getting enough milk and may worsen the soreness. Offering supplemental formula (choice
D) can decrease the mother's milk supply and hinder the establishment of breastfeeding.
Question 4 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Opioid analgesics administered via epidural block can lead to vasodilation, resulting in decreased blood pressure. The nurse should monitor for signs of hypotension, such as dizziness, lightheadedness, and decreased urine output. Hyperglycemia (
A) is not typically associated with opioid analgesics. Bilateral crackles (
B) suggest fluid overload or pulmonary edema, not a common adverse effect of opioids. Polyuria (
D) is not a common side effect of opioid analgesics; in fact, opioids can cause urinary retention.
Question 5 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: It is important for the nurse to instruct the client to have her provider refit her for a new diaphragm because postpartum changes in the body, such as weight loss or gain, can affect the fit of the diaphragm. A properly fitting diaphragm is essential for effective contraception.
Summary:
B: Using oil-based vaginal lubricant can weaken the diaphragm and increase the risk of contraceptive failure.
C: Keeping the diaphragm in place for an extended period after intercourse does not provide additional contraceptive benefits.
D: Storing the diaphragm in sterile water is not necessary and can actually damage the diaphragm.