ATI-MN ATI Maternal Newborn Exam - Set 4 - Part 3

Correct Answer: Use a soft toothbrush and electric razor

Because warfarin increases bleeding risk, the client uses a soft toothbrush and electric razor to avoid injury and reports any unusual bleeding to the provider. Option a is incorrect because daily heavy gum bleeding is a warning sign to report, not an expected effect. Option b is incorrect because the client continues the medication as prescribed and does not stop it based on feeling well. Option c is incorrect because aspirin adds to bleeding risk and should be avoided while taking warfarin.

Correct Answer: Cramping from the uterus contracting

Afterpains are cramping caused by the uterus contracting as it returns to its prepregnancy size, and they often intensify during breastfeeding. Option a is incorrect because afterpains come from uterine contraction, though a full bladder can add discomfort. Option b is incorrect because afterpains are expected cramping rather than an indication of hemorrhage. Option d is incorrect because afterpains are a normal part of involution, not a sign of infection.

Correct Answer: Elevate the legs

Elevating the legs helps return blood to the central circulation and supports perfusion of vital organs during recovery from a postpartum hemorrhage. Option b is incorrect because a prone position is not used and does not improve central circulation here. Option c is incorrect because sharply elevating the head reduces blood flow to the brain during low volume. Option d is incorrect because high Fowler can lower blood pressure further during hypovolemia.

Correct Answer: Foul-smelling vaginal discharge

Foul-smelling vaginal discharge can signal infection, so the client is taught to report it, along with fever or a return of heavy bright red bleeding. Option a is incorrect because lochia is expected to fade gradually, which reflects normal healing. Option b is incorrect because a returning appetite is a healthy sign, not a finding to report. Option c is incorrect because mild afterpains during nursing are a normal part of involution.

Correct Answer: A full bladder can lead to uterine atony

A distended bladder pushes the uterus up and to the side and keeps it from contracting, which can lead to uterine atony and increased bleeding. Option a is incorrect because a full bladder does affect bleeding by preventing the uterus from contracting. Option b is incorrect because bladder fullness is unrelated to the normal flow of lochia. Option d is incorrect because a full bladder slows involution rather than speeding it.

Correct Answer: Begin with gentle exercises and progress gradually

The client begins with gentle exercises such as pelvic floor strengthening and progresses gradually, which supports recovery without straining healing tissues. Option a is incorrect because heavy lifting is discouraged in early recovery and is not a starting exercise. Option c is incorrect because vigorous workouts right away can strain healing tissues and increase bleeding. Option d is incorrect because gentle activity and walking are encouraged early rather than avoiding all movement.

Correct Answer: Ensure the newborn latches onto the areola

A correct latch with the newborn taking in much of the areola, not just the nipple tip, prevents and relieves sore, cracked nipples during breastfeeding. Option a is incorrect because limiting feedings can lead to engorgement and does not heal the nipples. Option b is incorrect because sucking only the nipple tip causes trauma and worsens soreness. Option d is incorrect because alcohol dries and irritates the skin, making cracked nipples worse.

Correct Answer: Kegel exercises

Kegel exercises tighten and relax the pelvic floor muscles, which improves muscle tone and bladder control during postpartum recovery. Option a is incorrect because abdominal crunches target the abdomen and are postponed in early recovery, especially after a cesarean. Option b is incorrect because deep knee bends work the legs rather than the pelvic floor muscles. Option c is incorrect because heavy weight lifting strains healing tissues and does not strengthen the pelvic floor.

Correct Answer: It is a common normal response

A brief shaking chill soon after birth is a common, normal response, so with stable vital signs the nurse provides warmth and reassurance. Option a is incorrect because an allergic reaction involves rash, itching, or swelling rather than a brief postpartum chill. Option c is incorrect because hemorrhage causes a rising pulse and falling blood pressure, which are not present here. Option d is incorrect because infection is suggested by fever and other findings, not a single chill with normal vital signs.

Correct Answer: Avoid pregnancy for four weeks

The rubella vaccine is a live virus, so the client avoids pregnancy for about four weeks after receiving it to protect a future fetus. Option b is incorrect because a single dose is given postpartum, not repeated the following week. Option c is incorrect because breastfeeding is not contraindicated after the rubella vaccine. Option d is incorrect because the vaccine provides immunity rather than causing it to be lost.