A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make?
A) you might want to offer water supplements ...
NUR 442 ATI 3 Questions and Correct
Answers
A nurse is completing a home visit to a mother who is 3 days postpartum and
breastfeeding her newborn. The mother expresses concern about the amount of weight
the newborn has lost since birth. Which of the following is a response the nurse should
make?
A) you might want to offer water supplements between feedings
B) it is due to the newborns loss of the influence of the maternal hormones
C) this might be related to your baby having 3 stools a day
D) the cause might be too short or infrequent feedings ✅d) the cause might be too
short or infrequent feedings
A nurse is preparing to administer vit K by IM injection to a newborn. The nurse should
administer the medication into which of the following muscles?
A) Vastus lateralis
B) Ventrogluteal
C) Dorsogluteal
D) Deltoid ✅a) Vastus lateralis
A home health nurse is teaching a client who is breastfeeding about managing breast
engorgement. Which of the following client statements indicates understanding of the
teaching?
A) i'll let my baby drain one breast at each feeding
B) i'll try drinking an herbal tea to reduce the engorgement
C) i'll apply cold compresses 20 minutes before each feeding
D) i'll feed by baby every 2 hours ✅d) i'll feed my baby every 2 hours
A nurse in a clinic is assessing a client who is at 8 weeks of gestation and has
hyperemesis gravidarum. Which of the following findings should the nurse expect?
SATA
A) history of migraines
B) nulliparous
C) twin gestation
D) history of gestational HTN
E) oligohydramnios ✅a) history of migraines
B) nulliparous
C) twin gestation
, A nurse caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority nursing action?
A) administer vit K
B) dry the skin
C) administer eye prophylaxis
D) place an identification bracelet ✅b) dry the skin
A nurse is teaching a parent of a newborn about bottle feeding. Which of the following
statements by the parent indicates a need for further instruction?
A) i will keep my babys head elevated while he is feeding
B) i will allow my baby to burp several times during each feeding
C) i will tip the nipple so air is present as my baby sucks
D) my baby will have soft, formed yellow stools ✅c) i will tip the nipple so air is present
as my baby sucks
A nurse is assessing a client who is in active labor and notes that the presenting part is
at 0 station. Which of the following is the correct interpretation of this clinical finding?
A) the fetal head is in the left occiput posterior position
B) the largest fetal diameter has passed through the pelvic outlet
C) the posterior fontanel is palpable
D) the lowermost portion of the fetus is at the level of the ischial spines ✅d) the
lowermost portion of the fetus is at the level of the ischial spines
A nurse is caring for a client who just delivered a newborn. Following the delivery, which
nursing action should be done first to care for the newborn?
A) clear the respiratory tract
B) dry the infant off and cover the head
C) stimulate the infant to cry
D) Cut the umbilical cord ✅a) clear the respiratory tract
A nurse is preparing to assess a newborn who is postmature. Which of the following
finds should the nurse expect?
A) cracked, peeling skin
B) positive moro reflex
C) short, soft fingernails
D) abundant lanugo
E) vernix in the folds and creases ✅a) cracked, peeling skin
B) positive moro reflex
A nurse is observing a new mother bathing her newborn son for the first time. Which of
the following actions should the nurse intervene?
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