ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client at 12 weeks of gestation scheduled for cervical cerclage
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and is scheduled for placement of a cervical cerclage. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: D
Rationale: Avoiding sexual activity post-cerclage reduces complications and supports cervical integrity.
Extract:
Newborn receiving hepatitis B vaccine
Question 2 of 5
A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The standard dose of the hepatitis B vaccine for newborns is 0.5 mL, administered intramuscularly.
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 is postpartum and receiving warfarin for deep-vein thrombosis
Question 4 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 at 34 weeks of gestation who received nifedipine
Question 5 of 5
A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?
Correct Answer: B
Rationale: Nifedipine, a calcium channel blocker, is used to lower blood pressure or relax uterine muscles.