ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Oral contraceptives should not be taken while on warfarin because they can increase the risk of blood clots, counteracting the effect of the anticoagulant.
Extract:
A nurse is reinforcing teaching about perineal care to a client who is 2 hours postpartum and has an episiotomy and hemorrhoids.
Question 2 of 5
Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: D
Rationale: Applying witch hazel pads after urination helps reduce swelling, provides soothing relief, and promotes healing for both hemorrhoids and episiotomy sites. Witch hazel has natural astringent properties that are beneficial for postpartum perineal care.
Extract:
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Question 3 of 5
Which of the following actions should the nurse encourage the client to take?
Correct Answer: C
Rationale: Eating dry, bland foods in the morning can help manage nausea for pregnant clients. Foods like crackers, toast, and cereals are easy on the stomach and can help reduce morning sickness.
Extract:
Vital Signs: Heart rate: 80/min (January 8), Temperature: 36°C (96.8°F) (January 8), Respiratory rate: 12/min (January 8), Pulse oximetry: 99% (January 8), Blood pressure: 132/82 mm Hg (January 8), Heart rate: 90/min (February 8), Temperature: 36°C (96.8°F) (February 8), Respiratory rate: 16/min (February 8), Pulse oximetry: 99% (February 8), Blood pressure: 140/88 mm Hg (February 8). History and Physical: The client is a 24-year-old gravida 2 para 1 who is at 21 weeks of gestation. The client has a history of obesity and hypertension. She is 62 inches tall and weighs 93 kg (205 lb), with a BMI of 37.5. Her prepregnancy weight was 90.7 kg (200 lb) and BMI was 36.6. Scheduled return visit for follow-up in 4 weeks. Provider Prescriptions: Nifedipine 30 mg PO once daily.
Question 4 of 5
Complete the following sentence by using the lists of options. The nurse should prepare to reinforce teaching with the client about a ___ with a prescription of ___
Correct Answer: A
Rationale: The nurse should prepare to reinforce teaching with the client about a low-sodium diet with a prescription of nifedipine. Hypertension management requires dietary sodium reduction and nifedipine.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 5 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: E,A,C,D,B
Rationale: 1. Wrap a warm, moist cloth around the heel. 2. Cleanse the heel with an antiseptic. 3. Puncture the heel and collect the blood. 4. Apply pressure with a dry gauze pad. 5. Cover the heel with an adhesive bandage.