ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client on a postpartum unit following a cesarean birth
Question 1 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:
Client who is 4 hr postpartum
Question 2 of 5
A nurse is collecting data from a client who is 4 hr postpartum. For which of the following findings should the nurse administer carboprost IM?
Correct Answer: C
Rationale: Pooling of blood suggests postpartum hemorrhage, for which carboprost is indicated to control bleeding.
Extract:
Newborn receiving hepatitis B vaccine
Question 3 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:
Client who tested positive for group B streptococcus B-hemolytic (GBS) in a prior pregnancy and is at 30 weeks of gestation
Question 4 of 5
A nurse is reinforcing teaching with a client who tested positive for group B streptococcus B-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Retesting for GBS at 36 weeks is standard to assess colonization status near delivery.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 5 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).