ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Warm compresses increase blood flow, reducing pain and inflammation in mastitis.
Extract:
A nurse is collecting data on a newborn who is 1 day old.
Question 2 of 5
Which of the following findings is a manifestation of dehydration?
Correct Answer: B
Rationale: Capillary refill greater than 3 seconds indicates poor perfusion, a sign of dehydration in a newborn.
Extract:
A nurse is preparing to collect a specimen for newborn screening.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Warming the newborn's heel increases blood flow, facilitating easier and more effective specimen collection for screening.
Extract:
A nurse is checking the reflexes of a newborn.
Question 4 of 5
Which of the following actions should the nurse use to elicit the Babinski reflex?
Correct Answer: B
Rationale: Stroking upward on the lateral aspect of the sole elicits the Babinski reflex, causing the big toe to extend and toes to fan out, a normal newborn response.
Extract:
A nurse is preparing to assist with the administration of medications to a client who is 72 hours postpartum following a cesarean birth in the maternity ward. Exhibits: History and Physical, Vital Signs, Laboratory Test Results, Medication Administration Record
Question 5 of 5
Complete the following sentence by using the lists of options. Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for ___ because ___.
Correct Answer: A
Rationale: Rh (
D) immune globulin is unnecessary for an Rh-positive client (O+), requiring clarification.