ATI RN
ATI Custom PNU Maternity Fall 2023 Questions
Extract:
Duplicate of Question 13: A nurse is caring for a client who is postpartum.
Question 1 of 5
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: A
Rationale: The correct answer is A. Rho(
D) immune globulin is administered to Rh-negative mothers when the newborn is Rh-positive to prevent Rh incompatibility reactions. Rh incompatibility can occur if fetal blood enters the maternal circulation during pregnancy or delivery, causing the mother to develop antibodies against the Rh antigen. This can lead to hemolytic disease of the newborn in subsequent pregnancies.
Choices B, C, and D do not present a risk for Rh incompatibility as there is no exposure to Rh-positive blood for an Rh-negative mother.
Therefore, administering Rho(
D) immune globulin in those situations would not be necessary to prevent Rh sensitization.
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 2 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.
Extract:
A nurse is admitting a full-term baby boy delivered 12 hours ago to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow.
Question 3 of 5
This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: B
Rationale: The correct answer is B: Physiologic jaundice. Physiologic jaundice is common in newborns due to the breakdown of red blood cells and immature liver function. This leads to an increase in bilirubin levels, causing yellowing of the skin and eyes. Maternal/newborn blood group incompatibility (
A) would present with hemolytic disease of the newborn. Maternal cocaine abuse (
C) can lead to various complications but is not directly related to jaundice. Absence of vitamin K (
D) can cause bleeding issues but is not typically associated with jaundice in newborns.
Extract:
A nurse is reinforcing teaching about reducing the risk of perineal infection with a client who had a vaginal birth.
Question 4 of 5
Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,D,E
Rationale:
Correct Answer: A, D, E
Rationale:
A: Blotting the perineal area dry after voiding helps prevent infection and irritation.
D: Cleaning the perineal area from front to back reduces the risk of introducing bacteria into the urinary tract.
E: Performing hand hygiene before and after voiding helps prevent the spread of infection.
Incorrect
Choices:
B: Applying ice packs to the perineal area can decrease blood flow and slow healing.
C: Sitting on an inflatable donut can increase pressure on the perineum and delay healing.
Extract:
A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Question 5 of 5
Which of the following statements indicates that the client understands the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will eat crackers before I get out of bed in the morning." This statement indicates understanding as it demonstrates compliance with a specific teaching instruction. Eating crackers before getting out of bed is a common recommendation for managing morning sickness or low blood sugar levels upon waking.
Choices A, B, and C are incorrect because they do not directly address a specific teaching point or demonstrate understanding of the instruction given.
Choice A focuses on timing rather than the actual instruction.
Choice B mentions water consumption, which is not necessarily related to the teaching.
Choice C talks about limiting protein intake, which may or may not be relevant to the teaching provided.