ATI MATERNAL-NEWBORN VERSION 1-3{A,B &C} Study Set With All Answers Explained [Guaranteed A+]
1. Two days after delivery, a postpartum client prepares
... [Show More] 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, to pinkish
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
1 The parents of a 5-month-old infant state that their infant seems to eat very little. Most of the
food comes out of the infant's mouth and onto his clothes. Which of the following explanations
should the nurse give to the parents?
Trying to introduce food after the intake of a bottle formula is usually not recommended because
the infant is satiated and has no inclination to try something new. Solid foods should be offered
at 4 to 6 months. The gastrointestinal tract has matured enough to handle more nutrients and is
less sensitive to potentially allergenic foods. This deprives the infant of the pleasure of learning
new tastes and developing a discriminating palate. It may cause problems with poor chewing
because of lack of experience. Due to the extrusion (protrusion) reflex, the infant’s tongue pushes
the food out of the mouth. It is most helpful to suggest using a long-handled spoon and placing
the food in the back of the infant's mouth to avoid the reflex.
"Give the baby a bottle of formula before solid food to assure adequate caloric intake."
"Stop the solid foods and try again when the baby is 12 months old."
"Put the cereal in a bottle and feed the baby through a nipple with a large hole."
"Place the food in the back of the baby's mouth using a long-handled spoon."
1 A child diagnosed with asthma begins corticosteroid treatments. The nurse explains to the
parents that the purpose of corticosteroid treatment is to produce which therapeutic effect?
Incorrect: Dilation of the bronchial airways is common in treating asthma. Albuterol is a
common medication.
Incorrect: Bronchospasms are usually reduced by B-2 agonists and bronchodilators.
Incorrect: Infections are treated by antibiotics but not indicated in the treatment of asthma unless
lung congestion is noted.
Correct: Corticosteroid usage is common for decreasing inflammation of the bronchial
airways.
Dilation of bronchial airways
Decrease bronchospasms
Prevention of infection
Anti-inflammatory effect [Show Less]