ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client with a pre-pregnancy BMI of 21
Question 1 of 5
A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?
Correct Answer: C
Rationale: For a client with a pre-pregnancy BMI of 21 (normal range), the recommended weight gain during pregnancy is 11.4 to 15.9 kg (25 to 35 lb), as per guidelines from the Institute of Medicine.
Extract:
Newborn receiving phototherapy
Question 2 of 5
A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?
Correct Answer: D
Rationale: Decreased skin turgor is a classic sign of dehydration in newborns.
Extract:
Newborn who is 3 hr old
Question 3 of 5
A nurse is collecting data from a newborn who is 3 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: An elevated bilirubin level indicates jaundice, requiring further evaluation and management.
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:
Four prenatal clients
Question 5 of 5
A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: C
Rationale: Dysuria may indicate a urinary tract infection, which requires prompt treatment to prevent complications in pregnancy.