ATI LPN
PN ATI Maternal Newborn 2020 Questions
Extract:
Client who is in labor and has an epidural infusion for pain management, blood pressure is 80/40 mm Hg.
Question 1 of 5
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A fluid bolus of lactated Ringer's addresses hypotension caused by epidural anesthesia, improving maternal blood pressure.
Extract:
Client who is postpartum with excessive vaginal bleeding.
Question 2 of 5
A nurse is caring for a client who is postpartum and experiencing excessive vaginal bleeding. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Oxytocin promotes uterine contractions, reducing postpartum bleeding by compressing uterine blood vessels.
Extract:
Client who is breastfeeding at a 6-week postpartum checkup.
Question 3 of 5
A nurse is collecting data from a client at a 6-week postpartum checkup. The client tells the nurse, 'I am breastfeeding and would like to use a birth control pill.' Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Progestin-only pills are safe during lactation, minimizing impact on milk supply.
Extract:
Client who is 2 hr postpartum and has an episiotomy and hemorrhoids.
Question 4 of 5
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: D
Rationale: Witch hazel pads reduce inflammation and soothe hemorrhoids and episiotomy discomfort post-urination.
Extract:
Question 5 of 5
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?
Correct Answer: D
Rationale: Regularly replacing smoke detector batteries ensures safety, while other options increase risks like burns, respiratory issues, or SIDS.