Questions 56

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ATI Maternal Newborn Exam 3 Reno 2 2020 Questions

Extract:

Client is postpartum


Question 1 of 5

A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will 'come in.' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Mature breast milk typically comes in 3 to 5 days postpartum as colostrum transitions to milk.

Extract:

Client experienced a vaginal delivery 16 hr ago


Question 2 of 5

A nurse is caring for a client who experienced a vaginal delivery 16 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?

Correct Answer: A

Rationale: At 16 hours postpartum, the fundus is typically at the umbilicus level, descending daily thereafter.

Extract:


Question 3 of 5

The nurse is cognizant of which information related to the administration of vitamin K?

Correct Answer: A

Rationale: Newborns lack intestinal bacteria to produce vitamin K, necessitating an injection to prevent bleeding disorders.

Extract:

Client reports unrelieved episiotomy pain 8 hr following a vaginal birth


Question 4 of 5

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: An ice pack reduces swelling and pain in the perineum within the first 24 hours post-birth.

Extract:

Postpartum client learning newborn care


Question 5 of 5

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Baby powder is not recommended as it can cause respiratory issues when inhaled by newborns.

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