ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client who is 4 hr postpartum with four saturated perineal pads in the past hour
Question 1 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse notes four saturated perineal pads in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal assessment and massage address uterine atony, a common cause of postpartum hemorrhage.
Question 2 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse notes four saturated perineal pads in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal assessment and massage address uterine atony, a common cause of postpartum hemorrhage.
Extract:
Client who is 2 days postpartum
Question 3 of 5
A nurse is collecting data from a client who is 2 days postpartum. Which of the following findings should alert the nurse to the possibility of a puerperal infection?
Correct Answer: D
Rationale: Foul-smelling lochia suggests a uterine infection, a serious postpartum complication.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 4 of 5
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)
Correct Answer: 1123
Rationale: Using Naegele's rule, add 7 days to February 16 (February 23) and subtract 3 months (November 23). Thus, the estimated date of birth is 1123 (November 23).
Extract:
Client at 12 weeks of gestation
Question 5 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: A
Rationale: At 12 weeks, fetal heart tones are auscultated in the suprapubic area due to the uterus's position.