ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Using a breast pump prevents milk stasis, a major risk factor for mastitis, by ensuring regular milk expression when away from the baby.
Extract:
A nurse is checking the reflexes of a newborn.
Question 2 of 5
Which of the following actions should the nurse use to elicit the Babinski reflex?
Correct Answer: A
Rationale: The Babinski reflex is elicited by stroking the lateral sole of the foot, causing dorsiflexion of the big toe and fanning of other toes in newborns.
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Warm compresses relieve pain, improve circulation, and promote milk flow, aiding in clearing the infection and reducing engorgement.
Extract:
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Methadone is the standard treatment for opioid use disorder in pregnancy because it stabilizes opioid levels, preventing withdrawal symptoms and reducing cravings, minimizing risks of fetal distress, miscarriage, and preterm labor.
Extract:
History and Physical: Repeat caesarean birth 3 days ago, mastitis. Vital Signs: BP 130/84 mm Hg, HR 106/min, RR 20/min, Temp 38.94°C. Assessment: WBC 28,000/mm3, Hgb 13 g/dL, Hct 37%, redness/warmth in left breast, cracked nipples, body aches, chills, headache, breast tenderness.
Question 5 of 5
The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
Correct Answer: A,C,D,E
Rationale: Purulent discharge and increased WBC suggest worsening mastitis, while decreased pain and lower temperature indicate improvement. Lochia and hemoglobin are unrelated to mastitis.