ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client who is 2 days postpartum
Question 1 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 at a prenatal clinic
Question 2 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 who is postpartum and received methylergonovine
Question 3 of 5
A nurse is collecting data from a client who is postpartum and has received methylergonovine. Which of the following findings should indicate to the nurse that the medication was effective?
Correct Answer: A
Rationale: Methylergonovine causes uterine contractions, and increased uterine tone indicates effective control of postpartum bleeding.
Extract:
Client who tested positive for group B streptococcus B-hemolytic (GBS) in a prior pregnancy and is at 30 weeks of gestation
Question 4 of 5
A nurse is reinforcing teaching with a client who tested positive for group B streptococcus B-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Retesting for GBS at 36 weeks is standard to assess colonization status near delivery.
Extract:
Client requiring a clean catch urine specimen
Question 5 of 5
A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps by placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: D,A,B,C
Rationale: The correct sequence is: D (separate labia to expose meatus), A (cleanse to reduce contamination), B (collect midstream urine for a clean sample), C (secure cap to prevent leakage).