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ATI RN · ATI Maternal Newborn · Palliative Care Perinatal Loss Case

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is providing discharge counseling to a woman who is breastfeeding her baby. What should the nurse advise the woman to do if she should palpate tender, hard nodules in her breasts?

A. Gently massage the areas toward the nipple especially during feedings.
B. Apply ice to the areas between feedings.
C. Bottlefeed for the next twenty-four hours.
D. Apply lanolin ointment to the areas after each and every breastfeeding.

Expert Explanatory Rationale

Correct Answer: Gently massage the areas toward the nipple especially during feedings.

Question 2 of 5

The nurse is caring for a couple who are in the labor/delivery room immediately after the delivery of a dead baby with visible defects. Which of the following actions by the nurse is appropriate?

A. Discourage the parents from naming the baby.
B. Advise the parents that the baby's defects would be too upsetting for them to see.
C. Transport the baby to the morgue as soon as possible.
D. Give the parents a lock of the baby's hair and a copy of the footprint sheet.

Expert Explanatory Rationale

Correct Answer: Give the parents a lock of the baby's hair and a copy of the footprint sheet.

Question 3 of 5

On admission to the labor and delivery unit, a client's hemoglobin (Hgb) was assessed at 11.0 gm/dL, and her hematocrit (Hct) at 33%. Which of the following values would the nurse expect to see 2 days after a normal spontaneous vaginal delivery?

A. Hgb 12.5 gm/dL; Hct 37%.
B. Hgb 11.0 gm/dL; Hct 33%.
C. Hgb 10.5 gm/dL; Hct 31%.
D. Hgb 9.0 gm/dL; Hct 27%.

Expert Explanatory Rationale

Correct Answer: Hgb 10.5 gm/dL; Hct 31%.

Question 4 of 5

After instructing participants in a childbirth education class about methods for coping with discomforts in the first stage of labor, the nurse determines that one of the pregnant clients needs further instruction when she says that she has been practicing which of the following?

A. Biofeedback.
B. Effleurage.
C. Guided imagery.
D. Pelvic tilt exercises.

Expert Explanatory Rationale

Correct Answer: Pelvic tilt exercises.

Question 5 of 5

A woman has just had a macrosomic baby after a 12-hour labor. For which of the following complications should the woman be carefully monitored?

A. Uterine atony.
B. Hypoprolactinemia.
C. Infection.
D. Mastitis.

Expert Explanatory Rationale

Correct Answer: Uterine atony.

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