ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse in an obstetric clinic is caring for four clients.
Question 1 of 5
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
Correct Answer: A
Rationale: An IUD is contraindicated in pregnancy due to risks of miscarriage, infection, and preterm labor.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 2 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: Sedation is a common adverse effect of nalbuphine, an opioid analgesic, causing drowsiness or reduced alertness.
Extract:
History and Physical: Repeat caesarean birth 3 days ago, mastitis. Vital Signs: BP 130/84 mm Hg, HR 106/min, RR 20/min, Temp 38.94°C. Assessment: WBC 28,000/mm3, Hgb 13 g/dL, Hct 37%, redness/warmth in left breast, cracked nipples, body aches, chills, headache, breast tenderness.
Question 3 of 5
The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
Correct Answer: A,C,D,E
Rationale: Purulent discharge and increased WBC suggest worsening mastitis, while decreased pain and lower temperature indicate improvement. Lochia and hemoglobin are unrelated to mastitis.
Extract:
A nurse is reinforcing discharge instructions about breastfeeding with a client.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Sucking on hands is an early hunger cue, aiding effective feeding by recognizing the baby's needs.
Extract:
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.