ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
History and Physical: The client reports a history of one previous cesarean section due to breech presentation. She smokes half a pack of cigarettes daily and has a BMI greater than 30. The client denies leakage of amniotic fluid and describes positive fetal movement. Vital Signs: Temperature: 98.6°F (37°C), Pulse: 88 beats/min, Respiratory Rate: 16 breaths/min, Blood Pressure: 128/78 mmHg, Oxygen Saturation: 98% on room air. Nurses' Notes (0830 and 0845): 0830: The client is grimacing and reports discomfort. Fetal heart rate is 148 beats per minute. Fundal height measures 28 cm. 0845: Uterine contractions every 2 to 3 minutes, moderate in intensity, lasting 60 seconds.
Question 1 of 5
The nurse should recommend to first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: Frequent contractions indicate preterm labor risk at 30 weeks; prior cesarean increases uterine rupture risk, both needing prompt attention.
Extract:
A nurse is reinforcing discharge instructions about breastfeeding with a client.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.
Extract:
A nurse in an obstetric clinic is caring for four clients.
Question 3 of 5
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
Correct Answer: B
Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
Extract:
A nurse is reinforcing teaching about breastfeeding with a client who is postpartum.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Laying the baby on a pillow at breast level ensures proper positioning and latch, key to successful breastfeeding.
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.