Question

The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

Answer 1

Correct Answers:

Oxytocin.
Progesterone.
Hindmilk.

Rationale :

🧠 Oxytocin is released from the posterior pituitary during breastfeeding.

🧠 It stimulates the let-down reflex, causing the milk ejection from the alveoli into the ducts.

🧠 The baby’s suckling triggers the release of oxytocin, enhancing bonding and milk flow.

🧠 Progesterone supports pregnancy, not let-down; foremilk and hindmilk are types of milk, not hormones.

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Answer 2

Correct Answers:

Prolactin.

Rationale :

🍼 Prolactin, secreted by the anterior pituitary, stimulates the production of breast milk.

🍼 It works in response to suckling and maintains ongoing milk supply.

🍼 Prolactin is highest during night feeds, supporting milk volume.

🍼 Progesterone inhibits lactation during pregnancy; foremilk/hindmilk are components, not hormones.

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Answer 3

Correct Answers:

Hindmilk.

Rationale :

🥛 Hindmilk is released later in a feeding session and is higher in fat and calories.

🥛 It supports infant weight gain and satiety.

🥛 Foremilk, released at the beginning, is thinner and rich in lactose but low in fat.

🥛 Feeding should continue long enough to allow the baby to receive both foremilk and hindmilk.

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Answer 4

Correct Answers:

The client who had a postpartum hemorrhage 3 hours ago.

Rationale :

🚨 Postpartum hemorrhage is a life-threatening condition requiring immediate monitoring and possible intervention.

🚨 The client is at risk for shock, uterine atony, and blood loss complications.

🚨 This takes priority over non-urgent issues like breastfeeding trouble or moderate pain.

🚨 BP 130/90 in a pre-eclampsia history is important but not as urgent as recent hemorrhage.

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Answer 5

Correct Answers:

Come to the clinic as soon as possible.

Rationale :

⚠️ Heavy bleeding after IUD insertion is not normal and may indicate IUD displacement, perforation, or infection.

⚠️ Prompt evaluation prevents serious complications like uterine damage or anemia.

⚠️ Temperature checks alone are not sufficient; changing methods is premature without evaluation.

⚠️ It’s always best to physically assess any concerning post-IUD symptoms.

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Answer 6

Correct Answers:

Intercostal retractions.

Rationale :

🫁 Intercostal retractions indicate increased work of breathing, a key sign of respiratory distress syndrome (RDS).

🫁 RDS is caused by surfactant deficiency, common in preterm infants.

🫁 Other symptoms include nasal flaring, grunting, and tachypnea.

🫁 Wheezing is more common in asthma, tremors and hyperglycemia are not typical signs of RDS.

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Answer 7

Correct Answers:

0.8

Rationale :

🧮 Dose: 0.2 mg every 6 hours for 24 hours

🧮 24 ÷ 6 = 4 doses

🧮 0.2 mg x 4 = 0.8 mg total

🧮 Methergine is used to promote uterine contraction and prevent hemorrhage.

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Answer 8

Correct Answers:

Assess for hypothermia.

Rationale :

❄️ Hypoglycemia in newborns is often linked with cold stress, which increases glucose use.

❄️ Temperature regulation is essential for metabolic stability.

❄️ Addressing potential hypothermia can prevent worsening hypoglycemia.

❄️ The BG is borderline—intervention should focus on causes and stabilization before waiting or notifying.

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Answer 9

Correct Answers:

A macrosomic baby.

Rationale :

⚖️ A macrosomic baby (weighing >4,000 g) stretches the uterus, increasing risk for uterine atony and hemorrhage.

⚖️ Risk factors for PPH include overdistension, prolonged labor, and multiparity.

⚖️ First-degree lacerations and endometriosis are not primary hemorrhage risks.

⚖️ Uterine involution is protective, not a risk.

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Answer 10

Correct Answers:

Neonatal Abstinence Syndrome.

Rationale :

👶 Tachypnea (RR 70), elevated HR, mottling, and temperature instability are hallmark signs of Neonatal Abstinence Syndrome (NAS).

👶 NAS results from in utero exposure to opioids or other substances.

👶 Symptoms include irritability, feeding issues, tremors, and poor sleep.

👶 Timing (56 hours old) is typical for withdrawal onset in newborns.

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RN ATI Maternal&Newborn Care ~Nur207

No.

1 :
The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

2 :
The hormone responsible for the production of breast milk is:

3 :
The breast milk with more calories released later in the feeding is:

4 :
The RN has received a hand-off report. Which client does the RN need to see first?

5 :
A client calls the clinic to report some concerns. She had an IUD inserted a few weeks ago and her present menstrual flow is heavy. You advise her to:

6 :
The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

7 :
The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

8 :
A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

9 :
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:

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RN ATI Maternal&Newborn Care ~Nur207

No.

1 : The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

2 : The hormone responsible for the production of breast milk is:

3 : The breast milk with more calories released later in the feeding is:

4 : The RN has received a hand-off report. Which client does the RN need to see first?

5 : A client calls the clinic to report some concerns. She had an IUD inserted a few weeks ago and her present menstrual flow is heavy. You advise her to:

6 : The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

7 : The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

8 : A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

9 : A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is:

1 :
The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:

2 :
The hormone responsible for the production of breast milk is:

3 :
The breast milk with more calories released later in the feeding is:

4 :
The RN has received a hand-off report. Which client does the RN need to see first?

5 :
A client calls the clinic to report some concerns. She had an IUD inserted a few weeks ago and her present menstrual flow is heavy. You advise her to:

6 :
The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

7 :
The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

8 :
A nurse is caring for a newborn whose blood glucose level is 40. Which of the following interventions has priority in the nurse's plan of care?

9 :
A newly admitted postpartum client who delivered vaginally has saturated 6 perineal pads with bright red blood and many small clots during a one-hour period. The nurse suspects a post-partum hemorrhage. The nurse knows that a risk factor for post-partum hemorrhage is: