ATI LPN
ATI LPN Maternal Newborn 2023 IV 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: B
Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.
Extract:
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Question 2 of 5
Which of the following conditions should the nurse include as a risk factor?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.
Extract:
A nurse is caring for a client who inquires about available methods of contraception.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing unbiased teaching provides comprehensive contraception information, empowering the client to make an informed decision autonomously.
Extract:
Nurses' Notes 0830: The client is a gravida 2 para 1 at 30 weeks of gestation. Reports low back pain and abdominal cramping for the past two days. History includes cesarean birth for breech presentation. Reports smoking half a pack of cigarettes per day. BMI is greater than 30. The client is grimacing and has a positive report of fetal movement. External electronic fetal monitoring applied, showing fetal heart rate of 148/min. The abdomen is soft and nontender to palpation. 0845: Uterine contractions every 2–3 minutes, moderate in strength. Sterile vaginal examination reveals cervix dilated to 2 cm, 80% effaced, and -1 station. Mucous vaginal discharge and a small amount of bright red bleeding noted on the perineal pad. Vital Signs: Temperature: 36.8°C (98.2°F), Heart rate: 98/min, Respiratory rate: 18/min, Blood pressure: 112/68 mm Hg, Oxygen saturation: 98% on room air.
Question 4 of 5
For each finding, click to specify if the client finding is consistent with placenta previa, preterm labor, or abruptio placentae: A. Pain report, B. Uterine contractions, C. Perineal pad findings, D. Cervical dilation.
| Findings | Placenta Previa | Preterm Labour | Abruptio Placentae |
|---|---|---|---|
| Pain report | |||
| Uterine contractions | |||
| Perineal pad findings | |||
| Cervical dilation |
Correct Answer: A,B,C,D
Rationale: Pain and contractions suggest preterm labor/abruptio placentae; bleeding fits all three; dilation aligns with preterm labor/placenta previa.
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: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.