ATI RN Maternal Newborn 2023 IV | Nurselytic

Questions 35

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ATI RN Maternal Newborn 2023 IV Questions

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 1 of 5

Which of the following Information should the nurse Include?

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


Question 2 of 5

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

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 it’s a single dose.

Extract:

A nurse is assessing the newborn of a client who reports methadone use during pregnancy.


Question 3 of 5

Which of the following manifestations should the nurse expect the newborn to exhibit?

Correct Answer: D

Rationale: Poor feeding is a common sign of neonatal abstinence syndrome (NAS) from maternal methadone use, reflecting withdrawal effects on feeding ability.

Extract:

A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.


Question 4 of 5

How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 0.5

Rationale: 250 mg ÷ 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.

Extract:

A nurse is assessing a postpartum client who delivered vaginally 8 hr ago. Nurses' Notes: 0700: Breasts soft, nipples intact. Uterus firm, midline, at umbilicus. Moderate lochia rubra. Episiotomy well approximated, mild edema, ecchymosis. Pain 2/10. Able to void, no bladder distention. DTR 1+. Peripheral edema 2+ in legs. 1100: Breasts soft, nipples intact. Uterus soft, laterally deviated, 1 cm above umbilicus. Large lochia rubra. Pain 3/10. DTR 1+. Peripheral edema 2+ in legs. Vital Signs: 0700: Temp 36.2°C, Pulse 80/min, RR 16/min, BP 136/82 mmHg, SpO2 99%. 1100: Temp 37.2°C, Pulse 85/min, RR 18/min, BP 136/86 mmHg, SpO2 100%.


Question 5 of 5

Select the 3 findings that require immediate follow-up.

Correct Answer: A, D, G

Rationale: A soft uterus (
A) risks postpartum hemorrhage. Large lochia rubra (
D) may indicate bleeding issues. Lateral uterine deviation (G) suggests a full bladder or complication. BP, edema, pain, and soft breasts are within normal limits.

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