ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client with maternal serum alpha-fetoprotein screening results
Question 1 of 5
A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?
Correct Answer: B
Rationale: Low maternal serum alpha-fetoprotein levels are associated with Down syndrome.
Extract:
Client experiencing afterpains following breastfeeding
Question 2 of 5
A nurse is caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ibuprofen effectively relieves afterpains caused by uterine contractions post-breastfeeding.
Extract:
Four postpartum clients, one Rh-negative with Rh-positive newborn
Question 3 of 5
A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D) immune globulin?
Correct Answer: B
Rationale: An Rh-negative mother with an Rh-positive newborn requires Rh (
D) immune globulin to prevent sensitization.
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 using a TENS device for back pain during labor
Question 5 of 5
A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Increasing TENS intensity during contractions enhances pain relief during labor.