ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client who is postpartum and receiving warfarin for deep-vein thrombosis
Question 1 of 5
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Taking oral contraceptives with warfarin increases bleeding risk, so clients should avoid them while on warfarin.
Extract:
Client who is postpartum and breastfeeding
Question 2 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.
Extract:
Client who is 4 hr postpartum with four saturated perineal pads in the past hour
Question 3 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse notes four saturated perineal pads in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal assessment and massage address uterine atony, a common cause of postpartum hemorrhage.
Extract:
Client with preeclampsia receiving IV magnesium sulfate
Question 4 of 5
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: A
Rationale: Hyporeflexia is a sign of magnesium toxicity, a serious adverse effect requiring immediate reporting.
Extract:
Client who is pregnant and scheduled for a nonstress test
Question 5 of 5
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Pressing a button when the baby moves helps correlate fetal movement with heart rate changes.