ATI LPN Maternal Newborn 2023 IV

Extract:

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

Question 1 of 5

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

A. Have the client ambulate as often as possible. B. Apply warm, moist packs to the client's lower legs. C. Apply elastic stockings before the client gets out of bed. D. Administer NSAIDs every 4 to 6 hours.

Correct Answer: A

Rationale: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.

Extract:

A nurse is reinforcing discharge instructions about breastfeeding with a client.

Question 2 of 5

Which of the following statements should the nurse make?

A. You should recognize that your baby sucking on his hands is a hunger cue. B. You should feed your baby six times a day. C. You should feed your baby for 10 minutes on each breast. D. You should wake your baby at least every 6 hours at night for feedings.

Correct Answer: A

Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.

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?

A. Recommend the client avoid wearing a nursing bra until symptoms resolve. B. Suggest the client apply warm compresses to the affected breast. C. Encourage the client to limit oral fluid intake to decrease milk production. D. Tell the client to apply hydrocortisone ointment to the affected area.

Correct Answer: B

Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.

Extract:

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

Question 4 of 5

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

A. Have the client ambulate as often as possible. B. Apply warm, moist packs to the client's lower legs. C. Apply elastic stockings before the client gets out of bed. D. Administer NSAIDs every 6 to 8 hours.

Correct Answer: A

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

Extract:

A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.

Question 5 of 5

Which of the following diagnostic results should the nurse address first?

A. Hematocrit 32% (normal range: 32% to 47%). B. Hemoglobin 10 g/dL (normal range: 11 to 16 g/dL). C. WBC 20,000/mmÂ³ (normal range: 5,000 to 15,000/mmÂ³). D. Maternal blood type O negative.

Correct Answer: C

Rationale: An elevated WBC count of 20,000/mmÂ³ suggests infection or inflammation, a priority during labor requiring immediate attention.

ATI LPN Maternal Newborn 2023 IV | Nurselytic

Nurselytic

ATI LPN

ATI LPN