Questions 66

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ATI Maternal Newborn Final Exam Questions

Extract:

A nurse is instructing a female client on how to check her basal body temperature to determine if she is ovulating.


Question 1 of 5

The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer: B

Rationale: Basal body temperature should be checked every morning before arising to detect the slight rise post-ovulation, ensuring accuracy after rest, unlike other times affected by activity or cycle variability.

Extract:

A nurse is caring for a client who is 1 hour postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the level of the umbilicus.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Moderate lochia rubra with small clots and a firm, midline fundus is normal 1 hour postpartum, requiring only documentation and continued monitoring.

Extract:

A nurse is teaching a newborn's parent how to care for the umbilical cord stump.


Question 3 of 5

Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Sponge baths keep the umbilical cord stump dry, promoting healing, unlike petroleum jelly, diaper covering, or daily washing, which can increase infection risk.

Extract:

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A boggy fundus displaced to the right often indicates a full bladder, so assisting the client to void is the appropriate action to promote uterine contraction and prevent hemorrhage.

Extract:

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation.


Question 5 of 5

Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Correct Answer: B

Rationale: Unilateral, cramp-like abdominal pain is a hallmark of ectopic pregnancy due to tubal implantation, unlike heavy bleeding, excessive uterine growth, or severe nausea, which are less specific.

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