ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 1 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Ibuprofen. Ibuprofen is preferred for mild to moderate pain due to its analgesic and anti-inflammatory properties. It is commonly used for various conditions like headaches, menstrual cramps, and musculoskeletal pain. Aspirin (
A) has similar effects but is not recommended for pain in children due to the risk of Reye's syndrome. Meperidine (
B) is a narcotic analgesic with more side effects and limited use. Fentanyl citrate (
C) is a potent opioid mainly used for severe pain. In this scenario, ibuprofen is the safest and most appropriate choice for mild to moderate pain.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action is A: Administer 500 mL lactated Ringer's IV bolus. This choice is correct because the patient may be experiencing hypovolemia post-surgery, requiring fluid resuscitation to maintain hemodynamic stability. Evaluating urinary output (
B) is important but may not address the immediate need for fluid resuscitation. Applying an ice pack (
C) may be indicated for pain management but does not address potential hypovolemia. Replacing the surgical dressing (
D) is important for wound care but does not address the patient's fluid volume deficit.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Offer your baby a pacifier during naps if desired. This statement is correct because offering a pacifier during naps can help reduce the risk of sudden infant death syndrome (SIDS). Pacifiers have been shown to soothe babies and facilitate better sleep, which can be beneficial for both the baby and the parents.
Incorrect statements:
A: Apply triple antibiotic ointment on your baby's umbilical cord twice daily - This is incorrect because applying ointment on the umbilical cord can actually increase the risk of infection.
B: Give your baby an immersion bath daily - This is incorrect because newborns do not need daily immersion baths, as it can dry out their skin.
C: Swaddle your baby with their legs in an extended position - This is incorrect because swaddling with legs extended can increase the risk of hip dysplasia.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a cool sitz bath. This action helps reduce perineal swelling and discomfort postpartum. Cooling the area constricts blood vessels, decreases inflammation, and provides relief.
Choice B is incorrect as methylergonovine is used to prevent or treat postpartum hemorrhage, not for perineal care.
Choice C is incorrect because warm compresses can increase swelling and discomfort.
Choice D is incorrect as povidone-iodine can be too harsh and delay healing.
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because preterm newborns have less muscle tone, leading to increased body surface area exposed to heat loss. This makes them more vulnerable to hypothermia. Option A is incorrect as brown fat helps in thermoregulation. Option B is incorrect as shivering is not a common response in preterm newborns. Option C is incorrect as sweating is a limited response in newborns.