ATI RN Maternal Newborn 2023 IV

Extract:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.

Question 1 of 5

Which of the following client statements Indicates understanding of the teaching?

A. I should avoid breastfeeding for 2 weeks following the immunization.'B. I should avoid becoming pregnant for at least 1 month following the immunization.'C. I will report joint pain that develops after the immunization to my provider immediately.'D. I will receive a series of three immunizations and each one will be a month apart.'

Correct Answer: B

Rationale: Avoiding pregnancy for 1 month post-rubella vaccination prevents potential fetal risk from the live vaccine. Breastfeeding is safe, joint pain is mild and expected, and itâ€™s a single dose.

Extract:

A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.

Question 2 of 5

Which of the following actions should the nurse plan to take?

A. Assess for edema.B. Administer an IV bolus of lactated Ringer's.C. Restrict daily oral fluid intake.D. Obtain a prescription for misoprostol.

Correct Answer: A

Rationale: Assessing for edema monitors for worsening preeclampsia, a key action in the early postpartum period. Fluid bolus, restriction, and misoprostol are not indicated without severe features.

Extract:

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain.

Question 3 of 5

Which of the following Information should the nurse Include?

A. Hypnosis can be beneficial if you practiced it during the prenatal period.'B. Synchronized breathing will be required during hypnosis.'C. Focusing on controlling body functions will be helpful during hypnosis.'D. Hypnosis does not work for controlling pain associated with labor.'

Correct Answer: A

Rationale: Hypnosis is more effective for labor pain control if practiced prenatally, enhancing relaxation and pain perception alteration. Breathing and body control are not mandatory, and hypnosis can be effective.

Extract:

A nurse is caring for a client and their newborn.

Question 4 of 5

Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

A. The client puts their personal needs aside.B. The client takes charge of all mothering tasks.C. The client desires privacy with their newborn.D. The client reviews their birth experience with others.

Correct Answer: D

Rationale: Reviewing the birth experience is typical of the taking-in phase, where the mother focuses on her own needs and processing the delivery.

Extract:

A nurse is caring for a client who is postpartum and has a perineal laceration.

Question 5 of 5

Which of the following findings places the client at risk for delayed wound healing?

A. The client cleans the perineum with a squeeze bottle after urinating.B. The client's perineal suture line is well-approximated.C. The client is changing the perineal pad once daily.D. The client is using witch hazel pads on the perineum.

Correct Answer: C

Rationale: Changing the perineal pad only once daily increases infection risk due to moisture buildup, delaying healing. Cleaning, approximation, and witch hazel support healing.

ATI RN Maternal Newborn 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN