Questions 58

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ATI LPN Maternal Newborn 2023 IV Questions

Extract:

A nurse is reinforcing teaching about travel with a client who is pregnant.


Question 1 of 5

Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Taking breaks and walking hourly during travel improves circulation, reducing the risk of blood clots, a key concern during pregnancy.

Extract:

A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Giving a bolus of lactated Ringer's solution can help increase the client's blood pressure by expanding the intravascular volume, a common intervention for hypotension caused by epidural anesthesia.

Extract:

A nurse is checking the reflexes of a newborn.


Question 3 of 5

Which of the following actions should the nurse use to elicit the Babinski reflex?

Correct Answer: D

Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, causing toes to fan out, a normal newborn response.

Extract:

A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Administering Rh(
D) immune globulin within 72 hours prevents Rh sensitization in Rh-negative mothers, crucial for future pregnancies.

Extract:

A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.


Question 5 of 5

Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Correct Answer: A

Rationale: Ambulation promotes venous return, preventing blood stasis and reducing thrombophlebitis risk after cesarean birth.

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