Questions 26

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ATI Maternal Newborn Moitoso 4T Exam Questions

Extract:

Client who is postpartum and not planning to breastfeed, experiencing breast engorgement


Question 1 of 5

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is not planning on breastfeeding. Which of the following statements by the client indicates she understood the teaching?

Correct Answer: D

Rationale: Avoiding nipple stimulation reduces milk production, helping to alleviate engorgement in non-breastfeeding mothers.

Extract:

Client who is 5 hours postpartum following a vaginal birth of twins


Question 2 of 5

A nurse is caring for a client who is 5 hours postpartum following a successful vaginal birth of twins. The nurse should recognize that this client is at increased risk for which of the following postpartum complications?

Correct Answer: C

Rationale: Uterine overdistension from twins increases the risk of uterine atony, leading to poor uterine contraction and potential postpartum hemorrhage.

Extract:

Client who is breastfeeding


Question 3 of 5

A nurse is providing education about postpartum nutritional needs for the client that is breastfeeding. What information should be included in the teaching?

Correct Answer: C

Rationale: Breastfeeding mothers need an additional 450-500 kCal per day to support milk production and maintain energy levels, ensuring a balanced diet to meet nutritional demands.

Extract:

Student nurse reviewing milk production in pregnancy and postpartum


Question 4 of 5

A student nurse is reviewing the process of milk production in pregnancy and postpartum. Which of the following is the process of lactation maintenance and is reliant on breast stimulation and milk removal?

Correct Answer: A

Rationale: Galactopoiesis is the maintenance of lactation through ongoing breast stimulation and milk removal, driven by infant demand.

Extract:

Postpartum client with a distended bladder, unable to void after being assisted to the bathroom


Question 5 of 5

A nurse is caring for a postpartum client with a distended bladder. The client is assisted to the bathroom, but is unable to void. Which of the following interventions would be contraindicated?

Correct Answer: D

Rationale: Delaying intervention for a distended bladder risks complications like discomfort or hemorrhage, making waiting 2 hours contraindicated.

Similar Questions

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
The nurse is caring for a patient that delivered 6 hours ago. She had a spontaneous vaginal delivery (SVD) with a second degree laceration that was repaired. She pushed for three hours and has swollen perineum and inflamed hemorrhoids. The patient complains of overall perineal discomfort and rates it a 6/10 on the pain scale. Which of the following interventions would the nurse include in the client's plan of care for pain management?
A nurse is caring for a client who is 18 hours postpartum. Which finding should alert the nurse to the possibility of a postpartum complication?
The nurse is providing education to a client that is 3 hours postpartum after a vaginal delivery with a second-degree laceration. Which of the following actions should the nurse include in the perineal care teaching?
A nurse is providing discharge teaching to a postpartum client. The nurse emphasizes indications of potential complications and what to report to their provider. Which of the following findings should the nurse teach the client as a sign of a complication and requires further evaluation by a healthcare provider?

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