ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is caring for a client who is 1 hr 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 umbilicus.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to choose C: Document the findings and continue to monitor the client. This is the correct answer because it is important for the nurse to document the client's condition accurately and continue to monitor for any changes. By documenting the findings, the nurse ensures that there is a clear record of the client's status for future reference and communication with other healthcare providers. Increasing the frequency of fundal massage (choice
B) may not be necessary or appropriate based on the client's current condition. Notifying the client's provider (choice
A) may be necessary at a later stage depending on the client's progress. Encouraging the client to empty her bladder (choice
D) is important but may not be the immediate priority in this situation.
Extract:
A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.
Question 2 of 5
The nurse should verify which of the following prior to administration?
Correct Answer: D
Rationale: The correct answer is D because the Rh factor is inherited. If the mother is Rh negative and the newborn is Rh positive, it can lead to Rh incompatibility issues. The mother's immune system may produce antibodies against the baby's Rh-positive blood, causing hemolytic disease of the newborn. This can result in severe anemia and jaundice in the baby.
Therefore, it is crucial to verify the mother's Rh status and the newborn's Rh status to prevent complications.
Choices A, B, and C are incorrect because they do not address the risk of Rh incompatibility.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 3 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because applying hot packs to the breasts can increase the risk of mastitis, a painful infection. This can lead to further complications and hinder breastfeeding. Option A is incorrect as cabbage leaves can help reduce breast engorgement. Option C is incorrect as ice packs can help reduce inflammation. Option D is incorrect as breastfeeding every 2 hours is a recommended practice to establish milk supply.
Extract:
What should the nurse expect for a full-term newborn's weight during the first few days of life?
Question 4 of 5
What should the nurse expect for a full-term newborn's weight during the first few days of life?
Correct Answer: C
Rationale: The correct answer is C. During the first few days of life, it is normal for newborns, both formula-fed and breastfed, to experience a weight loss of around 5% to 10% of their birth weight. This initial weight loss is primarily due to fluid loss and adjustment to feeding. It is important for the nurse to expect and monitor this weight loss to ensure the newborn's health and growth trajectory.
Choice A is incorrect because weight loss is not limited to breastfed infants only.
Choice B is incorrect as it states an increase in weight for formula-fed babies, which is not the usual pattern in the first few days.
Choice D is incorrect because it inaccurately suggests a gain in weight for formula-fed newborns in the first 48 hours, which is not typical.
Extract:
In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?
Question 5 of 5
In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?
Correct Answer: B
Rationale: The correct answer is B: Erythromycin ophthalmic ointment. This medication is administered to prevent ophthalmia neonatorum, an eye infection that can occur in newborns due to exposure to maternal gonorrhea or chlamydia during birth. Erythromycin ointment is effective in preventing this infection and reducing the risk of complications such as conjunctivitis or corneal ulceration. Vitamin K (choice
A) is given to prevent bleeding disorders in newborns. Gentamicin ointment (choice
C) is not typically used for prophylaxis in newborns. Silver nitrate solution (choice
D) used to be commonly used for prophylaxis but has been replaced by erythromycin due to concerns about its efficacy and potential side effects.