Questions 61

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ATI RN Maternal Newborn 2023 Questions

Extract:

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.


Question 1 of 5

Which of the following adverse effects should the nurse include?

Correct Answer: A

Rationale: Clomiphene citrate, used to stimulate ovulation, commonly causes breast tenderness due to hormonal changes. The other effects are not typically associated with this medication.

Extract:

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.


Question 2 of 5

Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Correct Answer: B

Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.

Extract:

A nurse is caring for a client immediately following the delivery of a stillborn fetus.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Providing photos supports grieving and memory-making after a stillbirth. Autopsies are optional, naming isn't legally required, and time with the fetus should be based on the client's wishes.

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: C

Rationale: A cool sitz bath reduces swelling and pain in a severe perineal laceration; methylergonovine is for uterine tone, not lacerations.

Extract:

A nurse is administering a hepatitis B vaccine to a newborn.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The vastus lateralis is the preferred site for newborn IM injections; a 23-25 gauge needle at 90° is standard, and massage is avoided to prevent irritation.

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