ATI LPN Maternal Newborn | Nurselytic

Questions 51

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ATI LPN Maternal Newborn Questions

Extract:

A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.


Question 1 of 5

Which of the following statements should the nurse make?

Correct Answer: C

Rationale: During a nonstress test, the client presses a button when they feel fetal movement to monitor fetal heart rate response, assessing fetal well-being. No fasting, IV medication, or lying flat is required.

Extract:

A nurse is planning to administer Rho(D) immune globulin to a client who is postpartum.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Rho(
D) immune globulin should be given within 72 hours after delivery to prevent Rh isoimmunization in an Rh-negative mother with an Rh-positive newborn.

Extract:

A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.


Question 3 of 5

Which of the following medications should the nurse plan to administer?

Correct Answer: A

Rationale: Amoxicillin is safe and effective for treating chlamydia during pregnancy, posing no known fetal risks.

Extract:

A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy.


Question 4 of 5

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

Correct Answer: D

Rationale: Increased urinary urgency and frequency are common in the first trimester due to hormonal changes and uterine pressure on the bladder.

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 5 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.

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