ATI RN Maternal Newborn 2023 IV

Extract:

A nurse on the postpartum unit is caring for four clients.

Question 1 of 5

For which of the following clients should the nurse notify the provider?

A. A client who reports lochia rubra requiring changing perineal pads every 3 hrB. A client who reports abdominal cramping during breastfeedingC. A client who has a urinary output of 300 mL in 8 hrD. A client who is receiving magnesium sulfate and has absent deep tendon reflexes

Correct Answer: D

Rationale: Absent deep tendon reflexes in a client on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification to prevent respiratory or cardiac complications.

Extract:

A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration.

Question 2 of 5

Which of the following interventions should the nurse include in the plan?

A. Encourage the client to apply a warm pack to the perineum for discomfort.B. Prepare the client for a pudendal nerve block.C. Apply hydrogel pads to the perineum every 4 hr.D. Place a witch hazel pad on the client's perineal pad after each voiding.

Correct Answer: D

Rationale: Witch hazel pads reduce swelling and discomfort, aiding healing in third-degree lacerations. Warm packs may worsen swelling, and nerve blocks or hydrogels are not routine.

Extract:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.

Question 3 of 5

Which of the following client statements Indicates understanding of the teaching?

A. I should avoid breastfeeding for 2 weeks following the immunization.'B. I should avoid becoming pregnant for at least 1 month following the immunization.'C. I will report joint pain that develops after the immunization to my provider immediately.'D. I will receive a series of three immunizations and each one will be a month apart.'

Correct Answer: B

Rationale: Avoiding pregnancy for 1 month post-rubella vaccination prevents potential fetal risk from the live vaccine. Breastfeeding is safe, joint pain is mild and expected, and itâ€™s a single dose.

Extract:

A nurse is planning care for a client in the postpartum unit.

Question 4 of 5

Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

A. The client will verbalize appropriate car seat safety.B. The client will demonstrate proper bathing of the infant.C. The client will identify individual family member roles.D. The client will have adequate nutritional intake.

Correct Answer: D

Rationale: During the taking-in phase, the focus is on maternal recovery, making adequate nutritional intake a key goal for healing and breastfeeding support.

Extract:

A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.

Question 5 of 5

How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 0.5

Rationale: 250 mg Ã· 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.

ATI RN Maternal Newborn 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN