ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client at 20 weeks of gestation with a prescription for docusate sodium
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Taking docusate sodium with a full glass of water enhances its effectiveness as a stool softener.
Extract:
Client on a postpartum unit following a cesarean birth
Question 2 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.
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:
Newborn requiring a blood glucose test
Question 4 of 5
A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Applying antiseptic solution post-procedure prevents infection at the puncture site.
Extract:
Newborn who is large for gestational age
Question 5 of 5
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: A,B,D
Rationale: A: LGA infants are at risk for birth injuries like ecchymosis. B: Breastfeeding is essential for all newborns, including LGA infants. D: LGA infants are at risk for hypoglycemia, so monitoring blood glucose is critical.