Extract:

28-year-old female 24 hours post-vaginal birth, gestational diabetes, episiotomy

Question 1 of 5

A nurse is caring for a postpartum client in the unit. specify the potential nursing intervention that the nurse should plan to implement for the care of the client.

A. Assist with breastfeeding techniques to ensure proper latch.B. Educate the client on signs of postpartum depression and provide resources for support.C. Monitor blood pressure and heart rate regularly.D. Encourage early ambulation to prevent thromboembolism.E. Encourage deep breathing exercises and use of an incentive spirometer.F. Monitor oxygen saturation levels and respiratory rate.

Correct Answer: A,B,C,D,E,F

Rationale: These interventions support breastfeeding, mental health, circulation, and respiratory function postpartum.

Extract:

Client in labor

Question 2 of 5

A nurse is assessing a client who is in labor. Which of the following findings should the nurse expect?

A. Decrease in WBC count.B. Decrease in blood glucose level.C. Decrease in respiratory rate.D. Decrease in temperature.

Correct Answer: B

Rationale: Labor's energy demands can lower blood glucose levels, requiring monitoring to prevent hypoglycemia.

Extract:

Newborn for PKU test

Question 3 of 5

A nurse is collecting a blood phenylketonuria (PKU) test for a newborn prior to discharge. The newborn's guardian asks the nurse what a positive PKU test would mean. Which of the following statements should the nurse make?

A. A positive finding indicates the inability to metabolize galactose.B. A positive finding indicates the infant will have a slow metabolism.C. A positive finding indicates an inability to metabolize certain amino acids.D. A positive finding indicates an increased risk for neurological anomalies.

Correct Answer: C

Rationale: PKU involves an inability to metabolize phenylalanine, an amino acid, which can lead to brain damage if untreated.

Extract:

Client with postpartum hemorrhagic shock

Question 4 of 5

A charge nurse is providing teaching to a newly licensed nurse who is caring for a client who has postpartum hemorrhagic shock. Which of the following statements should the charge nurse make?

A. Manifestations of shock might not appear until a client loses 20% of their blood volume.B. Hemorrhagic shock will cause an increase in a client's serum pH.C. The most accurate indication of organ perfusion is a client's urine output.D. An infusion of 1 mL of lactated Ringers is given for each 1 mL of blood loss.

Correct Answer: A

Rationale: Shock symptoms may not appear until significant blood loss, as the body compensates initially.

Extract:

28-year-old female, gravida 1 para 0 at 32 weeks of gestation, cramping, low back pain

Question 5 of 5

A nurse is caring for a 28-year-old female client who is gravida 1 para 0 at 32 weeks of gestation in the prenatal unit. The nurse is providing teaching about tocolytic medication. Which of the following statements should the nurse include? (Select all that apply.)

A. I will inject this medication under your skin.B. You may experience a headache after receiving this medication.C. It is common for this medication to make you feel jittery.D. This medication should decrease your contractions.E. I'll check your reflexes frequently while you are receiving this medication.F. This medication can make your heart beat faster.G. This medication can increase your blood pressure.

Correct Answer: B,C,D,E,F

Rationale:
Tocolytics may cause headaches, jitteriness, tachycardia, and require reflex monitoring to reduce contractions.

Nurselytic

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ATI RN VATI Maternal Newborn Questions

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Question 1 of 5

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