ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client who is 4 hr postpartum
Question 1 of 5
A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?
Correct Answer: C
Rationale: Pooling of blood suggests postpartum hemorrhage, for which carboprost is indicated to control bleeding.
Extract:
Client who is at 35 weeks of gestation
Question 2 of 5
A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?
Correct Answer: D
Rationale: A board-like abdomen is a classic sign of abruptio placentae due to the rigid uterus caused by blood accumulation behind the placenta.
Extract:
Four newborns: one with blue hands and feet and axillary temperature of 36.6°C, one with 12% birth weight loss, one 24 hr post-circumcision with yellow exudate, one with blood glucose of 63 mg/dL
Question 3 of 5
A nurse is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse attend to first?
Correct Answer: A
Rationale: Cyanosis and low temperature suggest circulation and thermoregulation issues, requiring immediate attention.
Extract:
Client requesting a prescription for a transdermal contraceptive patch
Question 4 of 5
A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?
Correct Answer: D
Rationale: The transdermal patch is less effective in individuals weighing ≥90 kg (198 lb), making it contraindicated.
Extract:
Client who is postpartum and breastfeeding
Question 5 of 5
A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Positioning the baby at breast level on a pillow promotes proper latch and effective breastfeeding.