Questions 58

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ATI LPN Maternal Newborn 2023 IV Questions

Extract:

A nurse is caring for a client who inquires about available methods of contraception.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Performing unbiased teaching provides comprehensive contraception information, empowering the client to make an informed decision autonomously.

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:

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 3 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 charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.


Question 4 of 5

Which of the following conditions should the nurse include as a risk factor?

Correct Answer: C

Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.

Extract:

A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.


Question 5 of 5

Which of the following statements should the nurse make?

Correct Answer: A

Rationale: Methadone is commonly prescribed for opioid use disorder in pregnancy, safely managing withdrawal and reducing relapse risk for mother and fetus.

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