Practice Question
A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?
Answer Choices:
Correct Answer:
"My baby's temperature will be checked rectally every hour."
Rationale:
🟡 Rectal temperature is not routinely recommended due to risk of injury.
🟡 Axillary temperature is safer and standard for newborns.
🟡 Hourly temperature checks are excessive unless clinically indicated.
🟡 Skin-to-skin contact with a warm blanket helps regulate temperature.
🟡 Keeping the head covered and avoiding drafts prevents heat loss.
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This question is from RN ATI Maternity Exam I which contains 50 questions.
More Questions from This Exam
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
Answer Choices:
A. Whitish vaginal discharge.
B. Excessive uterine enlargement.
C. Rapidly dropping human chorionic gonadotropin (hCG) levels.
D. Fetal heart rate irregularities.
A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse reinforce in the teaching?
Answer Choices:
A. Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders.
B. The client’s human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy.
C. Thyroid replacement dosing will likely remain consistent throughout the pregnancy.
D. Antenatal fetal surveillance will be required during the first trimester of pregnancy.
A nurse is collecting data on a I-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?
Answer Choices:
A. A hymnals tag and white discharge on genitalia.
B. Edema on the scalp that crosses the suture line.
C. A heart murmur.
D. A large, deep sacral dimple above the gluteal cleft.
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Answer Choices:
A. Prepare for cesarean birth.
B. Request the RN perform a cervical examination.
C. Initiate an IV infusion of magnesium sulfate.
D. Administer antibiotics.
A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?
Answer Choices:
A. Need for increased insulin dosage in the first trimester.
B. Development of hypotension.
C. Weight gain higher than recommended.
D. Polyphagia.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4