Questions 41

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ATI RN Test Bank

ATI Med Surg Quiz Questions

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Question 1 of 5

A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch?

Correct Answer: D

Rationale: The rooting reflex guides the newborn to turn toward the nipple, facilitating latching during breastfeeding.

Question 2 of 5

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh, (D) Immunoglobulin. Which of the following should be included in the teaching?

Correct Answer: D

Rationale: RhoGAM prevents Rh-negative mothers from forming antibodies against Rh-positive fetal blood, protecting future pregnancies.

Question 3 of 5

A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

Correct Answer: C

Rationale: A fundus palpable to the right of the midline suggests bladder distention, which can displace the uterus and hinder contractions, increasing hemorrhage risk.

Question 4 of 5

A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, 'Is there a chance that I could deliver my next baby without having a cesarean section?' Which of the following responses should the nurse provide?

Correct Answer: B

Rationale: The type of incision (e.g., low transverse) is a key factor in determining eligibility for vaginal birth after cesarean (VBA
C).

Question 5 of 5

A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?

Correct Answer: C

Rationale: Palpating the uterine fundus is the priority to assess for uterine atony, a common cause of excessive bleeding, allowing immediate intervention if needed.

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