ATI PN Maternal Newborn 2023 II

Extract:

A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.

Question 1 of 5

Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

A. Deep-vein thrombosis B. Tobacco use C. Recurrent urinary tract infections D. History of positive group B streptococcus B-hemolytic

Correct Answer: C

Rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.

Extract:

A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation.

Question 2 of 5

Which of the following is an expected finding when eliciting reflexes from the newborn?

A. The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet B. The newborn closes their eyes and keeps them closed when tapped on the forehead C. The newborn's fingers curl around the nurse's finger when placed in the newborn's palm D. The newborn turns their head away from the stimulus when their cheek is touched

Correct Answer: C

Rationale: The palmar grasp reflex, where the newborn's fingers curl around the nurse's finger, is an expected and normal finding in newborns, indicating healthy neurological function.

Extract:

A nurse is caring for a client who inquires about a cervical cap for contraception.

Question 3 of 5

The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

A. History of methicillin-resistant Staphylococcus aureus B. History of thrombophlebitis C. History of toxic shock syndrome D. Type 1 diabetes mellitus

Correct Answer: C

Rationale: History of toxic shock syndrome (TSS) is a contraindication for the use of a cervical cap because the cap can increase the risk of developing TSS again.

Extract:

A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn.

Question 4 of 5

Which of the following information should the nurse include in the teaching?

A. Position the newborn's car seat at a 45Â° angle B. Place the newborn's car seat in a forward-facing position C. Place a rolled blanket behind the newborn's neck during extended trips D. Position the retainer clip at the level of the newborn's umbilicus

Correct Answer: A

Rationale: Positioning the newborn's car seat at a 45Â° angle helps to maintain an open airway and reduces the risk of the baby's head falling forward, which can obstruct breathing.

Extract:

A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.

Question 5 of 5

The nurse should monitor the client for which of the following findings as an indication of magnesium sulfate toxicity?

A. Nausea B. Facial flushing C. Urine output 40 mL/hr D. Respiratory rate 10/min

Correct Answer: D

Rationale: Respiratory rate of 10/min is a critical sign of magnesium sulfate toxicity. Magnesium sulfate can cause respiratory depression, and a rate of 10 breaths per minute or less indicates that the patient may be experiencing toxic effects.

ATI PN Maternal Newborn 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN