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 obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 3 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: E,A,C,D,B
Rationale: 1. Wrap a warm, moist cloth around the heel. 2. Cleanse the heel with an antiseptic. 3. Puncture the heel and collect the blood. 4. Apply pressure with a dry gauze pad. 5. Cover the heel with an adhesive bandage.
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 caring for a client who is postpartum and has inverted nipples.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing breast shells in the client's bra helps to draw out inverted nipples by applying gentle pressure, making breastfeeding easier. They also protect the nipples from friction and irritation.