ATI RN
ATI Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Caput succedaneum crosses suture lines and is caused by pressure during labor, fitting the described swelling.
Question 2 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A firm, midline fundus with lochia rubra and small clots is normal; documenting and monitoring are appropriate.
Question 3 of 5
A nurse is planning care for a newborn who has a new diagnosis of phenylketonuria (PKU). Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: A low-protein diet limits phenylalanine intake, critical for managing PKU and preventing neurological damage.
Question 4 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 5 of 5
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?
Correct Answer: A
Rationale: Early feeding stimulates bowel movements, aiding bilirubin elimination, which helps prevent neonatal jaundice.