ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client with a pre-pregnancy BMI of 21
Question 1 of 5
A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?
Correct Answer: C
Rationale: For a client with a pre-pregnancy BMI of 21 (normal range), the recommended weight gain during pregnancy is 11.4 to 15.9 kg (25 to 35 lb), as per guidelines from the Institute of Medicine.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 2 of 5
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)
Correct Answer: 1123
Rationale: Using Naegele's rule, add 7 days to February 16 (February 23) and subtract 3 months (November 23). Thus, the estimated date of birth is 1123 (November 23).
Extract:
Client who is postpartum and receiving warfarin for deep-vein thrombosis
Question 3 of 5
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Taking oral contraceptives with warfarin increases bleeding risk, so clients should avoid them while on warfarin.
Extract:
Client who is at 35 weeks of gestation
Question 4 of 5
A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?
Correct Answer: D
Rationale: A board-like abdomen is a classic sign of abruptio placentae due to the rigid uterus caused by blood accumulation behind the placenta.
Extract:
Client on a postpartum unit following a cesarean birth
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
Correct Answer: A
Rationale: Applying elastic stockings promotes venous return, reducing blood stasis and the risk of thrombophlebitis.