ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, last menstrual period May 4, Naegele's rule
Question 1 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: C
Rationale: Using Naegele’s rule (add 1 year, subtract 3 months, add 7 days), May 4 becomes February 11; adjusting for 40 weeks gestation, February 27 is the closest accurate date.
Extract:
newborn, mother positive for hepatitis B surface antigen
Question 2 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Correct Answer: C
Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.
Extract:
newborn, mucus bubbling post-birth
Question 3 of 5
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Suctioning the mouth first prevents aspiration and clears the airway effectively.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 4 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Emptying the bladder corrects uterine displacement, addressing the boggy fundus and excessive lochia.
Extract:
newborn, immediate skin-to-skin contact
Question 5 of 5
Benefits of immediate skin to skin contact include (Select all that apply):
Correct Answer: C,D,E,F
Rationale: C, D, E, F: These are evidence-based benefits of skin-to-skin contact. A and B are incorrect as skin-to-skin promotes bonding and breastfeeding.