Questions 60

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ATI NUR 207 Maternal Newborn Exam Questions

Extract:


Question 1 of 5

The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Correct Answer: A

Rationale: Oxytocin triggers the let-down reflex by causing milk duct contraction, ejecting milk during breastfeeding.

Extract:

Postpartum client who had a cesarean section 4 days ago.


Question 2 of 5

The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?

Correct Answer: A,B,C,D

Rationale: A: Red, tender breast suggests mastitis. B: Fever (100.8°F) may indicate infection. C: Burning on urination suggests UTI. D: Increased lochia rubra may indicate hemorrhage.

Extract:

New mother who received epidural anesthesia, forceps delivery, anxious and restless at 6 hours postpartum, with a large perineal hematoma and unable to urinate.


Question 3 of 5

A new mother received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours post-partum, the client is anxious and restless. On further assessment, a large perineal hematoma is seen. She is unable to urinate. After notifying the physician, the nurse should plan to:

Correct Answer: A

Rationale: A Foley catheter relieves urinary retention caused by the hematoma, aiding assessment.

Extract:

2-day-old septic preterm infant weighing 4300 grams.


Question 4 of 5

A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.

Correct Answer: B

Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg = 8.6 mg; 8.6 mg ÷ 20 mg/ml = 0.43 ml.

Extract:


Question 5 of 5

A nurse is teaching a class on various contraceptive devices. Which statement is false?

Correct Answer: C

Rationale: The Ortho Evra patch is replaced weekly, not monthly, making this statement false.

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