Questions 41

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ATI Med Surg Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A heart rate of 130/min is within the normal range for a newborn, requiring only documentation.

Question 2 of 5

A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?

Correct Answer: B

Rationale: Suctioning the mouth first clears airway obstructions, followed by the nose, ensuring effective breathing.

Question 3 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.

Question 4 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 5 of 5

A nurse is completing discharge instructions for a new mother and her newborn. The mother asks, 'How will I know if my baby gets enough breast milk?' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Wetting 6 to 8 diapers daily indicates sufficient milk intake and hydration in a breastfed newborn.

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