Questions 41

ATI RN

ATI RN Test Bank

ATI Med Surg Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply.)

Correct Answer: B,C,D,E

Rationale: These measures reduce nipple soreness by improving latch, promoting healing, and minimizing irritation.

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 teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Sponge baths keep the cord dry, reducing infection risk until it naturally detaches.

Question 4 of 5

A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client soaked a perineal pad in 10 min, the client's skin color is ashen, and she states she feels weak and light headed. After applying oxygen via nonrebreather face mask at 10 L/min which of the following actions should the nurse take next?

Correct Answer: C

Rationale: Massaging the fundus addresses potential uterine atony, the likely cause of excessive bleeding, to control hemorrhage.

Question 5 of 5

A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?

Correct Answer: D

Rationale: A firm fundus indicates effective uterine contractions, the desired effect of methylergonovine to prevent hemorrhage.

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