ATI LPN
ATI LPN OB Maternal Newborn Questions
Extract:
The nurse working in a women's clinic admits a patient who is almost 6 weeks postpartum and describes a yellow-white vaginal drainage.
Question 1 of 5
The nurse interprets this as indicating what?
Correct Answer: B
Rationale: Lochia alba is the final stage of lochia, occurring around 10 to 14 days postpartum and lasting up to six weeks. It is characterized by a yellowish-white discharge, indicating the end of the postpartum bleeding process.
Extract:
A nurse is contributing to the plan of care for a client who is postpartum and has thrombophlebitis.
Question 2 of 5
Which of the following nursing interventions should the nurse recommend?
Correct Answer: A
Rationale: Measuring leg circumferences is a crucial intervention for a client with thrombophlebitis. This helps in monitoring for any increase in swelling, which can indicate worsening of the condition or the development of complications such as deep vein thrombosis (DVT).
Extract:
A nurse is reinforcing teaching with a client who is breastfeeding and has mastitis.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Completely emptying each breast at each feeding or using a pump helps prevent milk stasis, which can lead to mastitis. Ensuring the breasts are fully emptied reduces the risk of blocked ducts and infection.
Extract:
A nurse is collecting data from a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm.
Question 4 of 5
Which of the following recommendations should the nurse give the client?
Correct Answer: B
Rationale: Expressing milk from both breasts is the correct recommendation. Breast engorgement is common in the early postpartum period as the milk comes in. Expressing milk, either by breastfeeding frequently or using a breast pump, helps to relieve the fullness, reduce discomfort, and maintain milk production.
Extract:
A nurse is reinforcing postpartum discharge teaching to a client who had no immunity to varicella and was given the varicella vaccine.
Question 5 of 5
Which of the following statements by the client indicates understanding?
Correct Answer: A
Rationale: The client needs a second varicella vaccination at her postpartum visit to ensure full immunity. The initial dose provides partial immunity, and the second dose completes the vaccination series.