ATI RN Custom 2023 Fall Exam 3

Extract:

What should the nurse expect for a full-term newborn's weight during the first few days of life?

Question 1 of 5

What should the nurse expect for a full-term newborn's weight during the first few days of life?

A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only.B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies.C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns.D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Correct Answer: C

Rationale: Both formula-fed and breastfed newborns typically lose 5% to 10% of birth weight in the first few days due to fluid shifts, making C correct.

Extract:

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

Question 2 of 5

Which of the following instructions should the nurse include?

A. Wash the cord daily with mild soap and water.B. Apply petroleum jelly to the cord stump.C. Cover the cord with the diaper.D. Give a sponge bath until the cord stump falls off.

Correct Answer: D

Rationale: Giving a sponge bath until the cord falls off keeps the area dry and prevents infection. Soap, petroleum jelly, and covering with a diaper delay healing.

Extract:

A nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.

Question 3 of 5

Which signs and symptoms would the nurse include? Select all that apply.

A. Nausea with vomiting during the first trimester.B. Sudden leakage of fluid during the second trimester.C. Urinary frequency in the third trimester.D. Backache during the second trimester.E. Lower abdominal pain with shoulder pain in the first trimester.F. Headache with visual changes in the third trimester.

Correct Answer: B, E, F

Rationale: Sudden leakage (
B) suggests premature rupture of membranes, lower abdominal pain with shoulder pain (E) may indicate ectopic pregnancy, and headache with visual changes (F) suggest preeclampsiaâ€”all urgent. Others are common pregnancy symptoms.

Extract:

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.

Question 4 of 5

Which of the following statements by the client indicates a need for further teaching?

A. I should crush cabbage leaves and place them on my breasts.'B. I should apply hot packs to my breasts during feeding.'C. I will apply ice packs to my breasts after feeding.'D. I will breastfeed every 2 hours.'

Correct Answer: B

Rationale: Applying hot packs during feeding can worsen engorgement by increasing blood flow; cold packs after feeding and frequent breastfeeding help. Cabbage leaves are a valid remedy.

Extract:

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

Question 5 of 5

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

A. Sitz baths cause perineal vasoconstriction and decreased bleeding.B. The longer a sitz bath is continued, the more therapeutic it becomes.C. Sitz baths increase the blood supply to the perineal area.D. Sitz baths may lead to increased postpartum infection.

Correct Answer: C

Rationale: Sitz baths increase the blood supply to the perineal area, promoting healing and providing relief from discomfort. Vasoconstriction is incorrect, duration doesn't enhance therapy, and infection risk is minimal if done properly.

ATI RN Custom 2023 Fall Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN