ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
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 1 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?
Correct Answer: C
Rationale: The correct answer is C. Sitz baths increase the blood supply to the perineal area. Warm sitz baths promote relaxation, improve circulation, and aid in healing by increasing blood flow to the perineal region, reducing discomfort, and promoting tissue repair. This is essential for postpartum women to facilitate healing and prevent complications like infection.
Choices A, B, and D are incorrect because sitz baths do not cause vasoconstriction or decreased bleeding; the therapeutic effect does not necessarily increase with longer duration, and they do not inherently lead to increased postpartum infection when done properly.
Extract:
At what time is the laboring client encouraged to push?
Question 2 of 5
At what time is the laboring client encouraged to push?
Correct Answer: D
Rationale: The correct answer is D: When the cervix is fully dilated. This is because pushing before full dilation of the cervix can lead to ineffective pushing and potential complications. When the cervix is fully dilated, it indicates that the baby is in the right position and the birth canal is open enough for the baby to pass through. Pushing at this stage helps in the efficient delivery of the baby.
Choices A, B, and C are incorrect because they do not consider the physiological readiness of the mother and baby for pushing.
Choice A depends on the healthcare provider's arrival, which may not align with the mother's natural labor progress.
Choice B focuses on the visibility of the fetal head, which may not necessarily indicate full cervical dilation.
Choice C is based on the nurse's preference rather than the mother's and baby's readiness for pushing.
Extract:
A nurse is assessing a postpartum woman.
Question 3 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: The correct answer is A because doing perineal care independently indicates the woman is transitioning into the taking-hold phase of the postpartum period. This phase involves gaining confidence in caring for oneself and the baby.
Choice B, talking about birth experience, may occur in the letting-go phase.
Choice C, not asking for pain relief, might indicate neglecting her own needs.
Choice D, rocking the infant, could suggest bonding but not necessarily entering the taking-hold phase.
Question 4 of 5
Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?
Correct Answer: A
Rationale: The correct answer is A because doing perineal care independently indicates the woman is transitioning to the taking-hold phase, characterized by taking on self-care tasks.
Choice B focuses on emotional processing, not self-care tasks.
Choice C implies pain tolerance, not independence.
Choice D suggests bonding, not self-care.
Extract:
Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.
Question 5 of 5
The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Between 24 and 28 weeks' gestation. This timing aligns with the American Diabetes Association's recommendation for screening pregnant women for gestational diabetes. During this period, the placental hormones that can lead to insulin resistance are at their peak, making it an optimal time to detect gestational diabetes. Screening too early (B,
C) may miss cases that develop later in pregnancy, while screening too late (
D) may delay necessary interventions. Option E, F, G are not provided.