ATI LPN
ATI LPN Maternal Newborn 2023 Questions
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?
Correct Answer: B
Rationale: Ambulation helps prevent thrombophlebitis by promoting blood circulation in the lower extremities. Moving the legs and walking encourage the calf muscles to contract, which aids in pushing blood back towards the heart, reducing the risk of blood stasis and clot formation.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 2 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: Nalbuphine hydrochloride is an opioid analgesic used for pain relief during labor. Sedation is a common adverse effect of opioid medications, including nalbuphine, due to central nervous system depression, leading to drowsiness and decreased consciousness.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Question 3 of 5
Which of the following food options should the nurse recommend as the best source of dietary calcium?
Correct Answer: A
Rationale: Kale is an excellent non-dairy source of calcium, providing approximately 90 mg per cup when cooked. It's a suitable option for pregnant women who avoid dairy to meet their calcium needs.
Extract:
A nurse is assisting in the care of a client who is 3 hours postpartum and reports complete saturation of their perineal pad in the past 30 minutes.
Question 4 of 5
Which of the following actions is the highest priority?
Correct Answer: A
Rationale: Complete saturation of the perineal pad within 30 minutes postpartum suggests excessive bleeding, potentially indicating postpartum hemorrhage. Fundal massage stimulates uterine contractions to control bleeding by compressing blood vessels at the placental site, making it the highest priority action.
Extract:
Question 5 of 5
A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
Correct Answer: D
Rationale: Comparing the identification numbers on the newborn's band with the parent's band is the most reliable method to confirm identity, ensuring the newborn is matched with the correct parent(s) and preventing mix-ups or abduction.