ATI LPN
ATI Pediatrics Test Bank Questions
Question 1 of 5
The nurse is assessing a postpartum client's fundus. Where should the nurse expect to find the fundus 24 hours after delivery?
Correct Answer: A
Rationale: After delivery, the fundus is expected to be at the level of the umbilicus 24 hours postpartum. This position indicates that the uterus is involuting properly. Assessing the fundal height helps monitor the progress of uterine involution and can identify any potential complications like postpartum hemorrhage.
Question 2 of 5
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 3 of 5
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.
Question 4 of 5
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: Correct Answer: A) It helps to prevent eye infections caused by bacteria in the birth canal. Educational Rationale: Administering erythromycin eye ointment to a newborn is a standard practice to prevent ophthalmia neonatorum, an eye infection caused by bacteria in the birth canal, particularly Chlamydia trachomatis and Neisseria gonorrhoeae. These infections can lead to serious consequences like blindness if left untreated. Therefore, the nurse's best response is option A. Explanation of Incorrect Options: B) It protects the baby's eyes from bright lights in the delivery room. This statement is incorrect as erythromycin eye ointment is not used to protect the baby's eyes from bright lights. The purpose of the ointment is specifically to prevent infections, not to shield from light. C) It prevents the development of jaundice. Erythromycin eye ointment does not prevent jaundice. Jaundice is a condition caused by elevated levels of bilirubin in the blood, which is unrelated to eye infections. D) It helps the baby see more clearly after birth. Erythromycin eye ointment does not affect the baby's vision clarity. Its primary purpose is to prevent bacterial infections that can cause serious eye damage. Educational Context: In pediatrics nursing, understanding the rationale behind administering medications or interventions to newborns is crucial for providing safe and effective care. Educating parents about the reasons behind recommended treatments helps build trust and encourages adherence to healthcare practices that promote the well-being of their newborn.
Question 5 of 5
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: In the context of postpartum physiology, the correct answer is A) In about 6 to 8 weeks. This timeframe aligns with the typical return of menstruation in non-breastfeeding mothers. Option B) In about 3 to 4 months is incorrect because menstruation usually returns sooner, around 6 to 8 weeks postpartum, not 3 to 4 months. Option C) In about 6 months is incorrect as it is too long a timeframe for the return of menstruation in non-breastfeeding mothers. Option D) In about 1 year is also incorrect because menstruation typically returns much sooner than one year after childbirth if the mother is not breastfeeding. Educationally, understanding the timing of postpartum menstruation is crucial for nurses caring for postpartum clients. This knowledge helps in providing accurate information to clients, supporting their understanding of their postpartum bodies, and assisting them in making informed decisions regarding contraception and family planning.