Maternity ATI Capstone Practice Questions and Answers Graded A+
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Course
Maternity ATI Capstone
Institution
Maternity ATI Capstone
Maternity ATI Capstone Practice Questions and Answers Graded A+
a nurse concludes that the father of an infant is not showing positive signs of parent‐infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Which of the following actions s...
Maternity ATI Capstone Practice Questions and Answers Graded A+ a nurse concludes that the father of an infant is not showing positive signs of parent ‐infant bonding. He appears very anxious and nervous when the infant's mother asks him to bring her the infant. Wh ich of the following actions should the nurse use to promote father ‐infant bonding? a. Hand the father the infant, and suggest that he change the diaper. B. ask the father why he is so anxious and nervous. C. Tell the father that he will grow accustomed to the infant. d. Provide education about infant care when the father is present. -✔✔ d. CORRECT: nursing interventions to promote paternal bonding include providing education about infant care and encouraging the father to take a hands ‐on approach. a clien t in the early postpartum period is very excited and talkative. She is repeatedly telling the nurse every detail of her labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which o f the following action should the nurse take? a. Come back later when the client is more cooperative. B. Give the client time to express her feelings. C. Tell the client she needs to be quiet so the assessment can be completed. d. redirect the client's foc us so that she will become quiet. -✔✔ B. CORRECT: The nurse should recognize that the client in is the taking ‐in phase, which begins immediately following birth and lasts a few hours to a couple of days. a nurse is caring for a client who is 1 day postpar tum. The nurse is assessing for maternal adaptation and mother‐infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene? (Select all that apply.) a. demonstrates apathy when the infant cries B. Touches the infant and maintains close physical proximity C. Views the infant's behavior as uncooperative during diaper changing d. identifies and relates infant's characteristics to those of family members e. interprets the infant's behavior as meaningful and a way of expressing needs -✔✔ C. CORRECT: a client's view of her infant as being uncooperative during diaper changing is a sign of impaired maternal ‐
infant bonding. a nurse is caring for a client who i s 2 days postpartum. The client states, "My 4 ‐year old son was toilet trained and now he is frequently wetting himself." Which of the following statements should the nurse provide to the client? a. "your son was probably not ready for toilet training and s hould wear training pants." B. "your son is showing an adverse sibling response." C."your son may need counseling." d."you should try sending your son to preschool to resolve the behavior." -✔✔ B. CORRECT: adverse responses by a sibling to a new infant can include regression in toileting habits. a nurse in the delivery room is planning to promote maternal ‐infant bonding for a client who just delivered. Which of the following is the priority action by the nurse? a. encourage the parents to touch and explore the neonate's features. B. limit noise and interruption in the delivery room. C. Place the neonate at the client's breast. d. Position the neonate skin ‐to‐skin on the client's chest. -✔✔ d. CORRECT: Placing the neonate in the en face position on the clien t's chest immediately after birth is the priority nursing intervention to promote maternal ‐infant bonding. a nurse on the postpartum unit is caring for four clients. Which of the following clients should the nurse recognize as the greatest risk for develo pment of a postpartum infection? a. a client who experienced a precipitous labor less than 3 hr in duration B. a client who had premature rupture of membranes and prolonged labor c. a client who delivered a large for gestational age infant D. a client who had a boggy uterus that was not well ‐contracted -✔✔ B. CORRECT: Premature rupture of membranes with prolonged labor poses the greatest risk for developing a postpartum infection because the birth canal was open, allowing pathogens to enter. A nurse is tea ching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make? a. "Limit the amount of time the infant nurses on each breast." B. "nurse the infant only on the unaffected breast until resolved." c."completely empty each breast at each feeding or use a pump." D."Wear a tight ‐fitting bra until lactation has ceased." -✔✔ c. CORRECT: Instruct the client to completely empty each breast at each feeding to prevent milk stasis, which provides a medium for bacterial gro wth. a nurse is reviewing discharge teaching with a client who has a urinary tract infection. Which of the following statements by the client indicates understanding of the teaching? (select all that apply.) a. "I will perform peri care and apply a perineal pad in a back ‐to‐front direction." B. "I will drink cranberry and prune juices to make my urine more acidic." c."I will drink large amounts of fluids to flush the bacteria from my urinary tract." D."I will go back to breastfeeding after I have finished taking the antibiotic." e. "I will take tylenol for any discomfort." -✔✔ B. CORRECT: acidification of urine inhibits bacterial multiplication. c. CORRECT: Increased fluid intake can help to flush the bacteria from the urinary tract. e. CORRECT: acetaminophen is taken to reduce discomfort and pain associated with a urinary tract infection. a nurse is caring for a client who has mastitis. Which of the following is the typical causative agent of mastitis? a. Sta phylococcus aureus B. Chlamydia trachomatis c. Klebsiella pneumonia D. Clostridium perfringens -✔✔ a. CORRECT: Staphylococcus aureus, Escherichia coli, and streptococcus are usually the infecting agents that enter the breast due to sore or cracked nippl es, which results in mastitis.
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