ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Postpartum endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is characteristic of endometritis and requires immediate attention.
A: Temperature of 37.4°C is within normal range.
B: WBC count of 9,000/mm3 is within normal limits and may not indicate infection.
D: Scant lochia does not specifically indicate endometritis.
Therefore, the presence of uterine tenderness is the most significant finding in this scenario.
Question 2 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This indicates an understanding of tubal ligation, a procedure that blocks the fallopian tubes to prevent pregnancy but does not affect ovulation. Ovulation will still occur, but the egg will not be able to travel to the uterus for fertilization.
A: Premenstrual tension may still occur as tubal ligation does not affect hormonal changes associated with the menstrual cycle.
B: Menstrual period length is not directly impacted by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation unless there are other underlying hormonal issues.
In summary, understanding that ovulation remains the same post-tubal ligation is crucial for the client to grasp the implications of the procedure accurately.
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Infants born to mothers with gestational diabetes are at risk for hypoglycemia due to hyperinsulinemia. Jitteriness is a common manifestation of hypoglycemia in newborns. It occurs due to the brain's response to low glucose levels, leading to neurologic symptoms. Abdominal distention (
A) is not typically associated with hypoglycemia in newborns. Petechiae (
B) are tiny red spots due to bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical manifestation of hypoglycemia in newborns.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D.
A) Labor induction with oxytocin can lead to uterine hyperstimulation, increasing the risk of postpartum hemorrhage.
C) Vacuum-assisted delivery can cause trauma to the birth canal, leading to excessive bleeding.
D) A history of uterine atony indicates a weak uterine muscle tone, which is a significant risk factor for postpartum hemorrhage.
B) Newborn weight and E) history of human papillomavirus are not directly related to postpartum hemorrhage.
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Exhibit 3 - Vital Signs
Time Vital Signs
0930 Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
Question 5 of 5
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
Correct Answer:
Rationale:
Correct Answer: C: Get adequate rest and sleep
Rationale:
1. Adequate rest and sleep are crucial for mental health and emotional well-being, helping to regulate mood and prevent depressive symptoms.
2. Sleep deprivation can exacerbate postpartum depression symptoms, so ensuring the client gets enough rest is essential.
3. Rest and sleep contribute to hormone regulation and overall energy levels, supporting the client's ability to cope with the challenges of new motherhood.
Summary:
A: Engaging in physical activity is beneficial but not directly linked to preventing postpartum depression.
B: Having a strong support system is important, but alone may not be sufficient to prevent postpartum depression.
D: Eating a well-balanced diet is important for overall health but may not directly prevent postpartum depression.