ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This is important as newborns have sensitive skin and using harsh chemicals can cause irritation. Washing the baby's face with plain water helps keep it clean without causing any harm.
Choice A is incorrect because bathing the baby immediately after a feeding can lead to discomfort and possibly vomiting due to movement on a full stomach.
Choice B is incorrect as bumper pads can pose a suffocation risk to infants while sleeping in their crib.
Choice C is incorrect as a soft mattress increases the risk of Sudden Infant Death Syndrome (SIDS) as it can create a suffocation hazard.
In summary, washing the baby's face with plain water is the safest and most appropriate instruction for a new mother in terms of home safety for her newborn.
Question 2 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is important for fertility as being underweight or overweight can affect hormone levels and ovulation. A healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B, herbal tea, lacks scientific evidence for enhancing fertility.
Choice D, hot baths, can increase testicular temperature and affect sperm production.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 3 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale: - A, D, E are correct, B, C are incorrect)
Rationale: A - Fundus at level of umbilicus indicates proper uterine involution. D - Moderate lochia rubra is expected postpartum. E - Thready pulse may indicate hypovolemia, requiring intervention. B - Cloudy urine may indicate infection, not improvement. C - Low blood pressure may indicate hypovolemic shock, a worsening condition.
Extract:
Question 4 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hours. This instruction is important because frequent feeding helps to establish and maintain a good milk supply, promotes bonding, and ensures the baby receives adequate nutrition.
Choice A is incorrect as breastfeeding should not be limited to a specific time duration.
Choice B is incorrect as offering water to a newborn can interfere with breastfeeding and increase the risk of water intoxication.
Choice C is incorrect as the number of wet diapers can vary, and it is not a reliable indicator of successful breastfeeding.
Question 5 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This indicates an understanding of tubal ligation, a procedure that blocks the fallopian tubes to prevent pregnancy but does not affect ovulation. Ovulation will still occur, but the egg will not be able to travel to the uterus for fertilization.
A: Premenstrual tension may still occur as tubal ligation does not affect hormonal changes associated with the menstrual cycle.
B: Menstrual period length is not directly impacted by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation unless there are other underlying hormonal issues.
In summary, understanding that ovulation remains the same post-tubal ligation is crucial for the client to grasp the implications of the procedure accurately.