ATI RN
ATI Capstone Maternal Newborn Assessment Quizlet
1. A nurse is caring for a client who is postpartum and breastfeeding. Which of the following instructions should the nurse provide to prevent mastitis?
- A. Feed the newborn on demand
- B. Apply warm compresses to the breast before feeding
- C. Massage the breast after feedings
- D. Ensure the newborn empties one breast before switching to the other
Correct answer: D
Rationale: To prevent mastitis, the nurse should instruct the client to ensure that the newborn empties one breast before switching to the other. This helps to prevent milk stasis, reducing the risk of inflammation and infection. Choice A is incorrect because feeding on demand is recommended to establish a good milk supply and prevent engorgement. Choice B is incorrect as warm compresses are usually applied before feeding to promote milk flow. Choice C is incorrect because massaging the breast after feedings can actually increase the risk of mastitis by causing further irritation.
2. A client taking antibiotics develops diarrhea. Which of the following foods should the nurse recommend to include in the client’s diet?
- A. Whole wheat bread
- B. Fresh orange sections
- C. Ice cream
- D. Yogurt
Correct answer: D
Rationale: Yogurt is the correct answer because it contains probiotics that can help restore normal gut flora and reduce antibiotic-associated diarrhea. Whole wheat bread (Choice A) may worsen diarrhea due to its high fiber content. Fresh orange sections (Choice B) are acidic and may irritate the digestive system further. Ice cream (Choice C) is high in sugar and fat, which can exacerbate diarrhea.
3. Which actions by the nurse demonstrate overinvolvement with patients and their families? (Select all that apply.)
- A. Buying clothes for the patients
- B. Showing favoritism toward a patient
- C. All
- D. Spending off-duty time with patients and families
Correct answer: C
Rationale: Overinvolvement includes personal actions like buying clothes, showing favoritism, and spending off-duty time with patients, which can blur professional boundaries.
4. A healthcare provider is providing discharge instructions to a client who has a new prescription for Warfarin. Which of the following over-the-counter medications should the provider instruct the client to avoid?
- A. Acetaminophen
- B. Ibuprofen
- C. Diphenhydramine
- D. Loratadine
Correct answer: B
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when taken with Warfarin due to its antiplatelet effects. The combination of Warfarin, an anticoagulant, and NSAIDs can potentiate the risk of bleeding complications. Clients on Warfarin should avoid NSAIDs like ibuprofen and opt for alternative pain relief options such as acetaminophen. Diphenhydramine and loratadine are antihistamines and are generally safe to use with Warfarin as they do not significantly increase the risk of bleeding when compared to NSAIDs like ibuprofen.
5. An individual with which of the following blood type can receive only blood of that same type?
- A. Type O
- B. Type A
- C. Type B
- D. Type AB
Correct answer: Type O
Rationale: The correct answer is Type O. Individuals with blood type O can only receive blood from donors with blood type O. This is because type O blood lacks both A and B antigens, so if a person with type O blood receives blood with A, B, or AB antigens, their immune system will recognize these as foreign substances and attack them. Choices B, C, and D are incorrect because individuals with type A can receive blood from A or O donors, individuals with type B can receive blood from B or O donors, and individuals with type AB can receive blood from A, B, AB, or O donors.
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