ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is postpartum and has an episiotomy.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Alternating warm and ice packs to the site every 2 hours for the first 24 hours postpartum is correct. This method helps manage pain and swelling effectively, promoting healing and comfort for the client.
Extract:
A nurse is assisting with the care of a client who is in active labor. The fetal monitor tracing shows late decelerations.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.
Extract:
A nurse is collecting data from a client who is 18 hr postpartum.
Question 3 of 5
Which of the following findings require the nurse to intervene?
Correct Answer: A
Rationale: Fundus located to the right of the umbilicus requires intervention. This can indicate a full bladder, which can inhibit uterine contraction and increase the risk of postpartum hemorrhage.
Extract:
A nurse is reinforcing discharge teaching about breastfeeding with a client.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.
Extract:
A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.
Question 5 of 5
Which of the following adverse effects should the nurse report to the provider?
Correct Answer: A
Rationale: Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.