ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is collecting data from a client who is 18 hr postpartum.
Question 1 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 2 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 3 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.
Extract:
A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio.
Question 4 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.
Extract:
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.
Question 5 of 5
Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
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.