Current Issues in Maternal and Child Health

ATI LPN · Current Issues in Maternal and Child Health

Question 1 of 46

In the immediate postpartum period the nurse plans to take the woman's vital signs:

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ATI LPN · Current Issues in Maternal and Child Health

Question 2 of 46

Which of the following best reflects the frequency of reported postpartum 'blues'?

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ATI LPN · Current Issues in Maternal and Child Health

Question 3 of 46

A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 4 of 46

How often should the nurse assess the blood pressure, pulse, and respirations of the birthing person during the first hour of the fourth stage of labor?

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ATI LPN · Current Issues in Maternal and Child Health

Question 5 of 46

What is not a complication associated with chronic hypertension during pregnancy?

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ATI LPN · Current Issues in Maternal and Child Health

Question 6 of 46

A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at (-1) station. The nurse determines that the fetal presenting part is:

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ATI LPN · Current Issues in Maternal and Child Health

Question 7 of 46

A postpartum client has a temperature of 101.4Ã‚Â°F, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following should the nurse assess next?

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ATI LPN · Current Issues in Maternal and Child Health

Question 8 of 46

Which TORCH infection can be spread through respiratory droplets and cause congenital heart defects, cataracts, deafness, and central nervous system abnormalities?

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ATI LPN · Current Issues in Maternal and Child Health

Question 9 of 46

One day after giving birth vaginally to a healthy neonate, a client is being prepared to be discharged from the hospital. The nurse doing the discharge teaching recognizes that the woman would characteristically:

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ATI LPN · Current Issues in Maternal and Child Health

Question 10 of 46

A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 11 of 46

A nurse is developing a plan of care for a PP woman with a small vulvar hematoma. The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client?

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ATI LPN · Current Issues in Maternal and Child Health

Question 12 of 46

Which of the following activities, when voiced by the parents following a teaching session about the characteristics of school-age cognitive development, would indicate the need for additional teaching?

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ATI LPN · Current Issues in Maternal and Child Health

Question 13 of 46

With a fetus in the left-anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?

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ATI LPN · Current Issues in Maternal and Child Health

Question 14 of 46

Which type of lochia should the nurse expect to find in a client 2 days PP?

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ATI LPN · Current Issues in Maternal and Child Health

Question 15 of 46

Which of the following toys should the nurse recommend for a 5-month-old?

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ATI LPN · Current Issues in Maternal and Child Health

Question 16 of 46

The nurse documents positive ballottement in the client's prenatal record. The nurse understands that this indicates which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 17 of 46

When PROM occurs, which of the following provides evidence of the nurse's understanding of the client's immediate needs?

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ATI LPN · Current Issues in Maternal and Child Health

Question 18 of 46

A nurse is caring for a client with hypertonic uterine contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention would be to:

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ATI LPN · Current Issues in Maternal and Child Health

Question 19 of 46

When preparing to listen to the fetal heart rate at 12 weeks' gestation, the nurse would use which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 20 of 46

When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the most significant barrier to access to care is the pregnant woman's:

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ATI LPN · Current Issues in Maternal and Child Health

Question 21 of 46

On which of the postpartum days can the client expect lochia serosa?

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ATI LPN · Current Issues in Maternal and Child Health

Question 22 of 46

What type of milk is present in the breasts 7 to 10 days PP?

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ATI LPN · Current Issues in Maternal and Child Health

Question 23 of 46

Which of the following nursing interventions would the nurse perform during the third stage of labor?

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ATI LPN · Current Issues in Maternal and Child Health

Question 24 of 46

A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is to:

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ATI LPN · Current Issues in Maternal and Child Health

Question 25 of 46

An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placenta is present. Based on these findings, the nurse would prepare the client for:

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ATI LPN · Current Issues in Maternal and Child Health

Question 26 of 46

A laboring client is in the first stage of labor and has progressed from 4 to 7 cm in cervical dilation. In which of the following phases of the first stage does cervical dilation occur most rapidly?

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ATI LPN · Current Issues in Maternal and Child Health

Question 27 of 46

The nurse is teaching a postpartum woman about perineal care and evaluates her technique. The nurse would recognize the need for further instruction if the woman:

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ATI LPN · Current Issues in Maternal and Child Health

Question 28 of 46

The nurse should be aware that during the childbearing experience an African-American woman is most likely to:

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ATI LPN · Current Issues in Maternal and Child Health

Question 29 of 46

A 10-year-old child with a history of seizures is started on phenytoin. Which of the following should the nurse include in the teaching plan for the parents?

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ATI LPN · Current Issues in Maternal and Child Health

Question 30 of 46

In which culture is the father more likely to be expected to participate in the labor and delivery?

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ATI LPN · Current Issues in Maternal and Child Health

Question 31 of 46

Healthy People 2020 has established national health priorities that focus on a number of maternal-child health indicators. Nurses are assuming greater roles in assessing family health and providing care across the perinatal continuum. Therefore it is important for the nurse to be aware that significant progress has been made in:

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ATI LPN · Current Issues in Maternal and Child Health

Question 32 of 46

Which of the following should the nurse include when teaching parents about managing a child's sickle cell anemia at home?

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ATI LPN · Current Issues in Maternal and Child Health

Question 33 of 46

Which of the following factors might result in a decreased supply of breastmilk in a PP mother?

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ATI LPN · Current Issues in Maternal and Child Health

Question 34 of 46

The postterm neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 35 of 46

During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?

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ATI LPN · Current Issues in Maternal and Child Health

Question 36 of 46

Which of the following statements best describes hyperemesis gravidarum?

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ATI LPN · Current Issues in Maternal and Child Health

Question 37 of 46

When describing dizygotic twins to a couple, on which of the following would the nurse base the explanation?

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ATI LPN · Current Issues in Maternal and Child Health

Question 38 of 46

A nurse is caring for a PP client with a diagnosis of DVT. The medication heparin has been ordered. The nurse would validate that the order is appropriate by reviewing which of the following laboratory results?

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ATI LPN · Current Issues in Maternal and Child Health

Question 39 of 46

Which of the following would cause a false-positive result on a pregnancy test?

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ATI LPN · Current Issues in Maternal and Child Health

Question 40 of 46

In a low-risk laboring person who is not receiving oxytocin, how often should the nurse assess

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ATI LPN · Current Issues in Maternal and Child Health

Question 41 of 46

Which of the following statements by the parents of a child with school phobia would indicate the need for further teaching?

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ATI LPN · Current Issues in Maternal and Child Health

Question 42 of 46

A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus, she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?

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ATI LPN · Current Issues in Maternal and Child Health

Question 43 of 46

When monitoring the fetal heart rate of a client in labor, the nurse identifies an elevation of 15 beats above the baseline rate of 135 beats per minute lasting for 15 seconds. This should be documented as:

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ATI LPN · Current Issues in Maternal and Child Health

Question 44 of 46

A client in her third trimester tells the nurse, 'I'm constipated all the time!' Which of the following should the nurse recommend?

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ATI LPN · Current Issues in Maternal and Child Health

Question 45 of 46

On which of the following areas would the nurse expect to observe chloasma?

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ATI LPN · Current Issues in Maternal and Child Health

Question 46 of 46

An important development that affects maternity nursing is integrative health care, which:

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