ATI PN Maternal Newborn 2023 II

Extract:

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

Question 1 of 5

Which of the following statements by the client indicates an understanding of the teaching?

A. I should breastfeed my baby at least six times per day B. I should keep my baby on a strict breastfeeding schedule C. I should feed my baby for 30 minutes during each feeding D. I should hold my baby just below the level of my breast

Correct Answer: C

Rationale: Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.

Extract:

A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.

Question 2 of 5

Which of the following adverse effects should the nurse report to the provider?

A. Respiratory rate 10/min B. Urine output 160 mL in 4 hr C. Diaphoresis D. Nausea

Correct Answer: A

Rationale: Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.

Extract:

A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio.

Question 3 of 5

Which of the following client statements indicates an understanding of the teaching?

A. The results can indicate a genetic disorder B. This test determines how well my placenta is functioning C. This test is done if there is a risk of an Rh incompatibility D. The results will show if my baby's lungs are mature

Correct Answer: D

Rationale: The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.

Extract:

A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.

Question 4 of 5

Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

A. Deep-vein thrombosis B. Tobacco use C. Recurrent urinary tract infections D. History of positive group B streptococcus B-hemolytic

Correct Answer: C

Rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.

Extract:

A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation.

Question 5 of 5

Which of the following is an expected finding when eliciting reflexes from the newborn?

A. The newborn's legs flex at the knees and hips when pressure is applied to the soles of the newborn's feet B. The newborn closes their eyes and keeps them closed when tapped on the forehead C. The newborn's fingers curl around the nurse's finger when placed in the newborn's palm D. The newborn turns their head away from the stimulus when their cheek is touched

Correct Answer: C

Rationale: The palmar grasp reflex, where the newborn's fingers curl around the nurse's finger, is an expected and normal finding in newborns, indicating healthy neurological function.

ATI PN Maternal Newborn 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN