ATI LPN Maternal Newborn | Nurselytic

Questions 51

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ATI LPN Maternal Newborn Questions

Extract:

A nurse is reinforcing teaching with a client about various contraceptive methods.


Question 1 of 5

Which of the following statements should the nurse include in the teaching?

Correct Answer: C

Rationale: Combined oral contraceptives reduce the risk of endometrial cancer by suppressing ovulation and stabilizing hormone levels, preventing endometrial proliferation.

Extract:

A nurse is caring for a client who inquires about available methods of contraception.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Providing comprehensive, nonjudgmental education on all contraceptive methods allows the client to make an informed decision based on their preferences and needs.

Extract:

Medical History: Gravida 1 Para 1, 41 weeks of gestation, Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. Vital Signs: Temperature 38.4° C (101.1° F), Blood pressure 118/72 mm Hg, Heart rate 108/min, Respiratory rate 20/min. Breasts: Client reports their breasts are starting to feel firmer and heavier. Denies nipple discomfort. Client is bottle-feeding their newborn. Uterus: Boggy and tender to palpation. Fundus at the umbilicus. Lochia: Moderate amount of dark brown, foul-smelling discharge. Bladder: Client reports frequent voiding without difficulty. Lower extremities: Bilateral edema of lower extremities noted without pain, warmth, or tenderness. Nurses' Notes: Client reports general malaise, chills, and a decreased appetite.


Question 3 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to evaluate the client's progress. Condition Most Likely: ___ Actions to Take: ___ Parameters to Monitor: ___

Action to Take

Plan to administer broad-spectrum antibiotic medication
Administer an oxytocic medication
Apply ice packs to the breasts
Encourage the client to increase fluid intake
Initiate anticoagulant therapy

Potential Condition

Engorgement
Endometritis
Deep vein thrombosis
Urinary tract infection

Parameter to Monitor

Temperature
Lochia amount and odor
Bladder distension
Integrity of the nipples
Circumference of lower extremities

Correct Answer:

Rationale: The client has fever (38.4°C/101.1°F), tachycardia (HR 108/min), uterine tenderness, and foul-smelling lochia, all of which indicate postpartum uterine infection (endometritis). Administering broad-spectrum antibiotics treats the infection, and oxytocic medication promotes uterine contraction to reduce bacterial growth. Monitoring temperature and lochia amount/odor evaluates treatment progress.

Extract:

A nurse is checking the reflexes of a newborn.


Question 4 of 5

Which of the following actions should the nurse use to elicit the Babinski reflex?

Correct Answer: A

Rationale: The Babinski reflex is elicited by stroking the lateral sole of the foot, causing dorsiflexion of the big toe and fanning of other toes in newborns.

Extract:

Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.


Question 5 of 5

Which of the following findings should the nurse report to the RN? Select all that apply.

Correct Answer: A,E,G

Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.

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