ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 1 day postpartum, cesarean birth
Question 1 of 5
A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care?
Correct Answer: B
Rationale: Frequent ambulation promotes venous return, reducing the risk of thrombophlebitis post-cesarean.
Extract:
client, first stage of labor, umbilical cord protruding
Question 2 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: Relieving cord compression by positioning and elevating the presenting part is the priority to prevent fetal hypoxia.
Extract:
client, immediate postoperative period, ectopic pregnancy, salpingostomy
Question 3 of 5
A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D) immune globulin?
Correct Answer: A
Rationale: Rho(
D) immune globulin is administered to Rh-negative clients to prevent sensitization from fetal-maternal blood mixing during ectopic pregnancy.
Extract:
client, last menstrual period May 4, Naegele's rule
Question 4 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, mucus bubbling post-birth
Question 5 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.