ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because it is crucial to have the diaphragm refitted by the provider periodically to ensure proper fit and effectiveness. This is important because changes in weight, childbirth, or pelvic surgery can affect the fit of the diaphragm.
Choice A is incorrect because storing the diaphragm in sterile water after each use is not necessary and may lead to contamination.
Choice B is incorrect as oil-based vaginal lubricants can degrade latex diaphragms, reducing their effectiveness.
Choice C is incorrect because the diaphragm should be kept in place for at least 6-8 hours after intercourse, not just 4 hours.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 2 of 5
How should the nurse interpret the findings 24 hr later?
Correct Answer: A
Rationale: The correct answer is A: Decreased extremity edema. This indicates improved circulation and reduced fluid retention, a positive response to treatment. Redness (
B) may indicate infection, leukocytosis (
C) suggests inflammation or infection, and tachycardia (
D) could be a sign of distress. Monitoring for improvement in edema is crucial in assessing the effectiveness of treatment.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Washing a baby's face with plain water is a safe and effective way to keep it clean without causing irritation.
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Question 4 of 5
What was the client's score on the Edinburgh Postnatal Depression Screen?
Correct Answer: B
Rationale: A score of 11 on the EPDS on postpartum day 30 is above the clinical cutoff score of 10, indicating a high risk of postpartum depression.
Extract:
A nurse is educating the parents of a newborn about the Plastibell circumcision technique.
Question 5 of 5
Which piece of information should the nurse include in the teaching?
Correct Answer: B
Rationale: Yellow exudate is a normal part of the healing process and will form at the surgical site within 24 hours after a Plastibell circumcision.