ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Full-term newborn who is 1 day old
Question 1 of 5
A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: A
Rationale: A hemoglobin level of 9.5 g/dL is low for a newborn (normal: 14-24 g/dL) and should be reported.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 2 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 a prenatal clinic
Question 3 of 5
A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Hormonal changes can cause chloasma (discoloration on cheeks), a normal pregnancy change.
Extract:
Client with a pre-pregnancy BMI of 21
Question 4 of 5
A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?
Correct Answer: C
Rationale: For a client with a pre-pregnancy BMI of 21 (normal range), the recommended weight gain during pregnancy is 11.4 to 15.9 kg (25 to 35 lb), as per guidelines from the Institute of Medicine.
Extract:
Client on a postpartum unit following a cesarean birth
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
Correct Answer: A
Rationale: Applying elastic stockings promotes venous return, reducing blood stasis and the risk of thrombophlebitis.