ATI Maternal Newborn Proctored Exam

(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS) A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "I should not remove the yellow exudate on the end of the penis." b. "I will clean his penis with each diaper change." c. "The circumcision will heal completely within a couple of weeks." d. "I can give him a tub bath in two days." d. "I can give him a tub bath in two days." The newborn should not be immersed in water until the circumcision has healed and the umbilical cord has detached. The circumcision should heal within two weeks. A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching? Select one: a. "My partner will put the condom on while his penis is erect." b. "I will remove the condom 30 minutes after intercourse." c. "My partner should leave an empty space at the tip." d. "I can use spermicidal gels or creams to increase effectiveness." b. "I will remove the condom 30 minutes after intercourse." To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the same time as the penis. To do that the condom rim should be held in place while the penis is withdrawn from the vagina. This study source was downloaded by from CourseH on :22:09 GMT -05:00 This study resource was shared via CourseH S - The Marketplace for Revision Notes & Study Guides Downloaded by: NurseKims | Distribution of this document is illegal This study source was downloaded by from CourseH on :53:08 GMT -05:00 This study resource was shared via CourseH Downloaded by: mrsNURSE01 | Distribution of this document is illegal S - The Marketplace for Revision Notes & Study Guides S - The Marketplace to Buy and Sell your Study Material A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30-40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor? Select one: a. "When did your contractions begin?" b. "Have you noticed any bloody show or fluid coming from your vagina?" c. "What happens to your contractions when you move about?" d. "Have you felt fetal movement over the last 24 hours?" b. "Have you noticed any bloody show or fluid coming from your vagina?" 1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21. Incorrect: Numerous clots are abnormal and should be reported to the physician. Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum hemorrhage. 1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21. Incorrect: Numerous clots are abnormal and should be reported to the physician. Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum hemorrhage. Correct: Lochia normally lasts for about 21 days, and changes from a bright red, topinkish brown, to creamy white. The color of the lochia changes from a bright red to white after four days Numerous large clots are normal for the next three to four days Saturation of the perineal pad with blood is expected when getting up from the bed Lochia should last for about 3 weeks, changing color every few days