ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
A nurse is discussing postpartum depression with a newly licensed nurse.
Question 1 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
Correct Answer: D
Rationale: The correct answer is D because postpartum depression is more likely to occur in women with a history of depression due to predisposing factors.
Choice A is incorrect as harming the infant is not the most common manifestation.
Choice B is incorrect as postpartum depression can occur anytime within the first year.
Choice C is incorrect as psychotic behavior is not common in postpartum depression.
Extract:
The Apgar score is based on which 5 parameters?
Question 2 of 5
The Apgar score is based on which 5 parameters?
Correct Answer: D
Rationale: The correct answer is D because the Apgar score is based on evaluating the newborn's heart rate, respiratory effort, muscle tone, reflex irritability, and color. Heart rate and respiratory effort assess the baby's cardiovascular and respiratory functions. Muscle tone and reflex irritability indicate the baby's neurological status. Skin color reflects the baby's overall oxygenation level. Other choices are incorrect because they do not encompass all 5 essential parameters assessed in the Apgar score.
Extract:
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to choose C: Document the findings and continue to monitor the client. This is the correct answer because it is important for the nurse to document the client's condition accurately and continue to monitor for any changes. By documenting the findings, the nurse ensures that there is a clear record of the client's status for future reference and communication with other healthcare providers. Increasing the frequency of fundal massage (choice
B) may not be necessary or appropriate based on the client's current condition. Notifying the client's provider (choice
A) may be necessary at a later stage depending on the client's progress. Encouraging the client to empty her bladder (choice
D) is important but may not be the immediate priority in this situation.
Extract:
A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.
Question 4 of 5
The nurse should verify which of the following prior to administration?
Correct Answer: D
Rationale: The correct answer is D because the Rh factor is inherited. If the mother is Rh negative and the newborn is Rh positive, it can lead to Rh incompatibility issues. The mother's immune system may produce antibodies against the baby's Rh-positive blood, causing hemolytic disease of the newborn. This can result in severe anemia and jaundice in the baby.
Therefore, it is crucial to verify the mother's Rh status and the newborn's Rh status to prevent complications.
Choices A, B, and C are incorrect because they do not address the risk of Rh incompatibility.
Extract:
A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.
Question 5 of 5
Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because applying hot packs to the breasts can increase the risk of mastitis, a painful infection. This can lead to further complications and hinder breastfeeding. Option A is incorrect as cabbage leaves can help reduce breast engorgement. Option C is incorrect as ice packs can help reduce inflammation. Option D is incorrect as breastfeeding every 2 hours is a recommended practice to establish milk supply.