ATI LPN
ATI Pediatrics Test Bank Questions
Question 1 of 9
A postpartum client is being discharged and asks the nurse when she should expect her menstrual period to return if she is not breastfeeding. The nurse's best response is:
Correct Answer: A
Rationale: For non-breastfeeding mothers, the return of menstrual periods typically occurs around 6 to 8 weeks postpartum. This timeframe may vary among individuals, but generally, hormonal changes after childbirth lead to the resumption of menstrual cycles within this period.
Question 2 of 9
The nurse is preparing to administer erythromycin eye ointment to a newborn. The mother asks why this is necessary. What is the nurse's best response?
Correct Answer: A
Rationale: Erythromycin eye ointment is administered to newborns to prevent eye infections caused by bacteria present in the birth canal. This ointment does not have a direct correlation with protecting the baby's eyes from bright lights, preventing jaundice, or improving the baby's vision clarity post-birth.
Question 3 of 9
When teaching a new mother how to perform perineal care, which instruction should be included?
Correct Answer: B
Rationale: Using a peri-bottle filled with warm water after each voiding is essential for proper perineal care as it helps cleanse the area without causing irritation and promotes healing. It is important to avoid using a back-to-front motion to prevent introducing bacteria into the urethra, and using powder may increase the risk of infection. Cleansing solutions specifically formulated for perineal care may be recommended but should be used under healthcare provider guidance.
Question 4 of 9
A new parent is concerned because their newborn's stools are loose and yellow. The healthcare provider should explain that this is:
Correct Answer: B
Rationale: Loose, yellow stools are a normal finding in breastfed infants. Breastfed infants often have loose, yellow stools due to the composition of breast milk. It is not typically a sign of dehydration, infection, or lactose intolerance in this context.
Question 5 of 9
The caregiver is teaching a new mother about infant safety. Which statement indicates that further teaching is needed?
Correct Answer: D
Rationale: Allowing a baby to sleep in an adult bed increases the risk of suffocation and Sudden Infant Death Syndrome (SIDS). It is safer for infants to sleep on a firm, flat surface in their own crib or bassinet to reduce the risk of accidental suffocation or strangulation. Therefore, the caregiver should be advised against co-sleeping with the infant to ensure the baby's safety.
Question 6 of 9
The caregiver is teaching a new parent about signs of adequate breastfeeding. Which statement by the parent indicates understanding?
Correct Answer: B
Rationale: Wetting at least six diapers a day is a key indicator of adequate breastfeeding as it shows that the baby is properly hydrated and receiving enough milk.
Question 7 of 9
The healthcare provider is caring for a newborn who is 2 days old. Which finding should be reported to the healthcare provider?
Correct Answer: A
Rationale: Yellowing of the skin may indicate jaundice in a newborn, which can be a sign of an underlying health issue such as an elevated bilirubin level. It is essential to report this finding to the healthcare provider for further assessment and appropriate management to prevent complications.
Question 8 of 9
A postpartum client is experiencing heavy lochia and a boggy uterus. What should be the nurse's initial action?
Correct Answer: C
Rationale: The correct initial action for a postpartum client experiencing heavy lochia and a boggy uterus is to perform fundal massage. Fundal massage helps to firm the uterus and reduce bleeding by promoting uterine contractions, which can assist in preventing postpartum hemorrhage. Administering uterotonic medication may be necessary in some cases but should not be the initial action. Encouraging the client to void and increasing fluid intake can be important interventions but are not the priority in this situation where immediate uterine firmness is needed to control bleeding.
Question 9 of 9
A breastfeeding mother is experiencing nipple pain. What should the nurse instruct her to do?
Correct Answer: C
Rationale: When a breastfeeding mother experiences nipple pain, ensuring the baby latches on properly is essential. Proper latch-on technique can help prevent and alleviate nipple pain by ensuring the baby is effectively extracting milk and not causing undue pressure or friction on the nipple. This guidance can promote a more comfortable breastfeeding experience for the mother and improve milk transfer for the baby.