Questions 9

ATI LPN

ATI LPN Test Bank

PN ATI Capstone Maternal Newborn Questions

Question 1 of 5

A nurse is teaching a client who is to start using a diaphragm for contraception. Which of the following client statements indicate an understanding of the teaching?

Correct Answer: D

Rationale: The client should place spermicide in the diaphragm before insertion to enhance contraceptive effectiveness. The diaphragm should also be left in place for at least 6 hours after intercourse, but not more than 24 hours.

Question 2 of 5

A nurse is assessing a newborn 1 hour after birth. The newborn has acrocyanosis and a heart rate of 130 beats per minute. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Acrocyanosis, or bluish discoloration of the hands and feet, is a normal finding in newborns in the first few hours after birth. The nurse should continue to monitor the newborn and reassess after some time.

Question 3 of 5

A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?

Correct Answer: B

Rationale: The nurse should inform the client that the nonstress test typically takes about 30 minutes and is used to assess fetal well-being by monitoring fetal heart rate in response to movements.

Question 4 of 5

A nurse is assessing a newborn who is 48 hr old and has a maternal history of methadone use during pregnancy. Which of the following manifestations should the nurse identify as an indication of neonatal abstinence syndrome?

Correct Answer: B

Rationale: An excessive high-pitched cry is a classic sign of neonatal abstinence syndrome, indicating withdrawal from substances such as methadone. Other signs may include irritability and tremors.

Question 5 of 5

A nurse is developing a plan of care for a newborn who has hyperbilirubinemia and a prescription for phototherapy. Which of the following interventions should the nurse include?

Correct Answer: D

Rationale: Repositioning the newborn every 2 to 3 hours during phototherapy is important to expose all areas of the skin to light and facilitate the breakdown of bilirubin.

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