ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery.
Question 1 of 5
The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Vitamin K is essential for the production of clotting factors in the liver, which helps prevent bleeding disorders like hemorrhage in newborns. Hyperbilirubinemia is managed with phototherapy, not vitamin K. Potassium deficiency is unrelated to vitamin K administration. Infection prevention is not a primary purpose of vitamin K administration.
Extract:
A nurse is assisting a client with breastfeeding her newborn.
Question 2 of 5
The nurse should explain that which of the following reflexes will initiate sucking?
Correct Answer: A
Rationale: The correct answer is A: Rooting. When the cheek or lip is touched, the infant turns the head toward the stimulus and opens the mouth to suck. This reflex helps initiate sucking during breastfeeding. Moro reflex (
B) is a startle reflex, stepping reflex (
C) is for walking, and Babinski reflex (
D) is for assessing neurological function.
Choices E, F, G are not applicable.
Extract:
Question 3 of 5
Which of the following reflects the normal sequence of postpartum vaginal discharge?
Correct Answer: D
Rationale: The correct sequence is Lochia rubra, lochia serosa, lochia alba. Lochia rubra consists of blood and tissue debris, lasting for the first 3-4 days postpartum. Lochia serosa is pinkish or brownish and persists from days 4-10. Lochia alba is the final stage, yellowish-white discharge lasting up to 6 weeks. This sequence reflects the normal progression of postpartum vaginal discharge, starting with the presence of blood and ending with a lighter-colored discharge as the healing process progresses.
Choice D is correct.
Choices A, B, and C have the sequence of colors in the incorrect order, not following the typical progression of postpartum discharge.
Extract:
A nurse is receiving report about assigned clients at the start of his shift.
Question 4 of 5
Which of the following clients should the nurse plan to attend to first?
Correct Answer: B
Rationale: The correct answer is B. The client who experienced a cesarean birth 4 hours ago and reports pain should be attended to first because postoperative pain management is crucial for comfort and recovery. Failure to address pain promptly can lead to complications. Clients who have undergone surgery require close monitoring for any signs of distress or complications.
Choice A is incorrect because a client scheduled for discharge following a procedure like a laparoscopic tubal ligation typically does not require immediate attention unless there are signs of complications.
Choice C is incorrect because although a client with preeclampsia and a slightly elevated blood pressure needs monitoring, it is not as urgent as addressing acute postoperative pain.
Choice D is incorrect because a client who experienced a vaginal birth 24 hours ago and reports no bleeding does not present with an immediate concern that requires urgent attention.
In summary, the priority is to address acute postoperative pain to ensure the client's comfort and well-being, as timely pain management is essential in the
Extract:
A nurse is reinforcing teaching about umbilical cord care with a client who is postpartum.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: The stump should fall off in 10 to 14 days. This instruction is important because it informs the caregiver about the expected timeline for the umbilical cord stump to naturally detach, indicating proper healing.
Choice A is incorrect as baby oil can increase the risk of infection.
Choice B is incorrect as immersing the abdomen can also increase the risk of infection before the cord falls off.
Choice D is incorrect as covering the cord with a diaper can trap moisture and bacteria, leading to infection.