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Ati Maternal Newborn Quiz
Ati Maternal Newborn Quiz
Total Questions : 27
Showing 10 questions Sign up for moreThe nurse should recognize that the client is at risk of
Explanation
The nurse should recognize that the client is at risk of postpartum hemorrhage due to polyhydramnios.
Risk:
Postpartum Hemorrhage (PPH): The client has polyhydramnios and multiple gestation, which cause uterine overdistension. Overdistension increases the risk of uterine atony postpartum, a leading cause of PPH. Other contributing factors are the large uterine fibroids and a history of preterm labor.
Probable Cause:
Polyhydramnios: AFI of 30 cm indicates polyhydramnios, which is excess amniotic fluid.
Multiple gestation (twins) is a common cause of polyhydramnios. Polyhydramnios increases the risk of preterm labor, cord prolapse, and PPH.
On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?
Explanation
A. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.
B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.
C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.
D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.
When a woman is diagnosed with postpartum depression, what is one of the main concerns?
Explanation
A. She may have outbursts of anger: Possible but not the primary concern.
B. She may harm her infant: Correct. Postpartum depression can lead to severe thoughts of harming oneself or the baby, requiring immediate medical intervention.
C. She may lose interest in her husband: While possible, it is not the primary safety concern.
D. She may neglect her hygiene: This can occur but is not the most immediate concern compared to potential harm to the infant.
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?
Explanation
A. Kernicterus: Unrelated to postpartum complications; it is a bilirubin-related condition in newborns.
B. Uterine atony: Correct. A large infant increases the risk of uterine overstretching, leading to poor uterine contraction and postpartum hemorrhage.
C. Gestational diabetes: This is diagnosed during pregnancy, not as a postpartum complication.
D. Retained placental fragments: A possible concern but less likely than uterine atony in a client with a macrosomic infant.
A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.
Explanation
A. "I understand your concern, but your baby will be okay." This response does not provide education or reassurance.
B. "Milk normally comes in around the third day." Correct. This provides factual information to reassure the mother.
C. "You can bottle feed until your milk comes in." Incorrect. Supplementing may reduce breastfeeding success.
D. "Your baby seems content, so you should not worry about him getting enough to eat." This dismisses the mother's concern without providing information.
The nurse is assessing a postpartum patient who had an uncomplicated vaginal delivery one hour ago. Which assessment finding requires immediate intervention?
Explanation
A. Respiratory rate of 16 breaths/min: Normal range, no intervention needed.
B. Pulse of 120 beats per minute: Correct. Tachycardia in the postpartum period can indicate hemorrhage or hypovolemia, requiring immediate assessment and intervention.
C. Temperature of 98.8°F (37.7°C): Normal postpartum temperature.
D. Blood pressure of 120/88 mmHg: Normal postpartum blood pressure.
When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
Explanation
A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.
B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.
C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.
D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.
When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
Explanation
A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.
B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.
C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.
D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.
A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse- midwife to her concern that the client may be experiencing:
Explanation
A. Pulmonary embolism (PE): PE is a life-threatening condition that occurs when a blood clot travels to the lungs, often originating from a deep vein thrombosis (DVT). Postpartum clients are at increased risk due to hypercoagulability. Symptoms include sudden-onset dyspnea, chest pain, tachypnea, tachycardia, and hypoxia despite clear lung sounds. This warrants immediate intervention.
B. Mitral valve collapse: This is not a common postpartum complication and does not explain the client’s acute symptoms.
C. Upper respiratory infection: URIs present with cough, congestion, fever, and abnormal lung sounds, which this client does not have.
D. Thrombophlebitis: This refers to localized inflammation of a superficial vein, which may cause leg pain and swelling but does not typically result in respiratory distress.
Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?
Explanation
A. G2P1 (second pregnancy, one prior birth) may experience some afterbirth pains, but G3P2 is at higher risk.
B. Multiparous clients (those who have had multiple pregnancies) are more likely to experience stronger afterbirth pains due to repeated uterine stretching and contractions. Additionally, delivering a large baby (macrosomia) increases uterine involution and associated pain.
C. First-time mothers (G1P1) typically experience milder afterbirth pains due to a less stretched uterus.
D. G3P0 (three pregnancies, no births) suggests preterm labor without full-term delivery, making afterbirth pains unlikely.
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