ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: It is important for the nurse to instruct the client to have her provider refit her for a new diaphragm because postpartum changes in the body, such as weight loss or gain, can affect the fit of the diaphragm. A properly fitting diaphragm is essential for effective contraception.
Summary:
B: Using oil-based vaginal lubricant can weaken the diaphragm and increase the risk of contraceptive failure.
C: Keeping the diaphragm in place for an extended period after intercourse does not provide additional contraceptive benefits.
D: Storing the diaphragm in sterile water is not necessary and can actually damage the diaphragm.
Question 2 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). High blood glucose levels during pregnancy can indicate gestational diabetes, which poses risks to both the mother and the baby. The nurse should report this finding to the provider for further evaluation and management.
Choice A (Hematocrit 37%): Falls within the normal range for pregnancy and does not require immediate reporting.
Choice B (Creatinine 0.9 mg/dL): Within the normal range and does not indicate a concerning issue at this time.
Choice C (WBC count 11,000/mm3): Slightly elevated, but can be a normal physiological response during pregnancy and does not necessarily warrant immediate reporting.
In summary, the correct answer is D as it signifies a potential health concern that requires further assessment.
Choices A, B, and C are within normal ranges for pregnancy and do not pose immediate risks.
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Apply a moist, warm compress to the perineum.
Rationale: Applying a moist, warm compress helps to reduce swelling and promote healing in the perineal area. This can provide comfort and pain relief for the client with a fourth-degree laceration. It also helps to increase blood flow to the area, aiding in the healing process.
Summary of other choices:
B: Providing a cool sitz bath may not be appropriate for a fourth-degree laceration as warmth is usually more soothing and beneficial.
C: Administering methylergonovine may be contraindicated as it can cause uterine contractions and increase the risk of bleeding in a client with a fourth-degree laceration.
D: Applying povidone-iodine may be too harsh for the delicate perineal area and can potentially cause irritation or delay healing.
Question 4 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to create memories and acknowledge the loss, aiding in the grieving process. It also validates the existence of the stillborn and helps with closure.
A: Limiting the time the fetus is in the room may not address the emotional needs of the client.
C: Instructing the client about a mandatory autopsy may be insensitive and overwhelming during this emotional time.
D: Informing the client about a law requiring them to name the fetus is incorrect and may add unnecessary stress.
Question 5 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Massage the client's fundus. This is the first action the nurse should take because excessive vaginal bleeding postpartum could indicate uterine atony, which is a common cause of postpartum hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. This should be done before administering medications like oxytocin (
B) or providing oxygen (
D), as addressing the underlying cause is crucial. Emptying the bladder (
C) is important but comes after addressing the uterine atony.