Questions 54

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ATI Maternal Newborn Quiz Questions

Extract:

A client who is four hours postpartum with temperature 39°C (102.2°F), pulse 96 beats per minute, respirations 18 breaths per minute.


Question 1 of 5

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

Correct Answer: C

Rationale: Acetaminophen (Tylenol) reduces fever, addressing the elevated temperature effectively.

Extract:

A client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz (4252 g).


Question 2 of 5

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Correct Answer: B

Rationale: A macrosomic infant increases the risk of uterine atony due to overstretching, potentially leading to postpartum hemorrhage.

Extract:

A client who is postpartum.


Question 3 of 5

Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

Correct Answer: B

Rationale: Multiparous clients with large babies (G3P2, 9lb) experience stronger afterbirth pains due to repeated uterine stretching and involution.

Extract:

A client who is two days postpartum and has a fourth degree perineal laceration.


Question 4 of 5

A nurse is reviewing the prescribed orders for a client who is two days postpartum and has a fourth degree perineal laceration. Which of these orders should the nurse question?

Correct Answer: D

Rationale: Enemas are contraindicated with fourth-degree lacerations due to risk of trauma and pain; stool softeners are preferred.

Extract:

A mother bonding with her new baby.


Question 5 of 5

The nurse assesses a mother's bonding with her new baby. Which action made by the mother does the nurse identify as the initial maternal phase/postpartum adjustment?

Correct Answer: B

Rationale: In the taking-in phase, mothers focus on reliving the birth experience, processing labor before focusing on the newborn.

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