ATI Custom PNU Maternity Fall 2023 | Nurselytic

Questions 48

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ATI Custom PNU Maternity Fall 2023 Questions

Extract:

A nurse is reinforcing discharge teaching about circumcision care with the parent of a newborn who had a circumcision yesterday.


Question 1 of 5

Which of the following client statements indicates an understanding of the teaching?

Correct Answer: A

Rationale: The correct answer is A: "I call the doctor if I see any bleeding." This statement demonstrates understanding because it shows the client recognizes the importance of seeking medical attention in case of bleeding, indicating concern for the child's well-being. In contrast, B assumes a quick healing process, which may not always be the case. C focuses on diaper fit, unrelated to the child's injury. D suggests using alcohol swabs, which can be harmful. E, while mentioning hygiene, does not address the specific concern of bleeding. Overall, A is the best choice as it prioritizes seeking medical help for a potentially serious issue.

Extract:

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7°C (100°F); pulse rate 88/min; respiratory rate 18/min.


Question 2 of 5

Which of the following actions should the nurse perform?

Correct Answer: A

Rationale: The correct answer is A: Report the client's temperature elevation. This is the priority action as it indicates a potential infection, which can be life-threatening for the client and baby. Reporting allows for timely intervention. B is incorrect as it does not address the underlying issue. C is not indicated without further assessment. D is incorrect as it does not address the temperature elevation. Focusing on milk supply is not the priority.

Extract:

A nurse is caring for a newborn immediately after birth.


Question 3 of 5

Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer: B

Rationale: The correct answer is B: Drying the newborn's skin thoroughly. This action reduces evaporative heat loss by removing moisture from the baby's skin, preventing heat loss through evaporation. Maintaining ambient room temperature (
A) helps prevent conductive heat loss, not evaporative heat loss. Preventing air drafts (
C) reduces convective heat loss, not evaporative heat loss. Placing the newborn on a warm surface (
D) helps prevent conductive heat loss but does not directly address evaporative heat loss.

Extract:

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone.


Question 4 of 5

Which of the following statements should the nurse make?

Correct Answer: A

Rationale: The correct answer is A because the medication mentioned is likely a corticosteroid given to pregnant women at risk for preterm birth to enhance fetal lung maturity. This statement provides accurate information about the medication's purpose.
Choice B is incorrect as stopping preterm labor contractions is usually managed with tocolytic medications, not corticosteroids.
Choice C is incorrect as corticosteroids do not affect fetal heart rate.
Choice D is incorrect as corticosteroids do not halt cervical dilation but rather help with fetal lung development.

Extract:

A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn.


Question 5 of 5

Which of the following statements by the client indicates a need for further teaching?

Correct Answer: A

Rationale: The correct answer is A because stimulating nipples can lead to increased milk production, which may not be necessary or desirable. B is incorrect as ice packs can help with breast engorgement. C is incorrect as a snug fitting bra can provide support. D is incorrect as cabbage leaves can help with breast pain.

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