Question

A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?

Answer 1

Correct Answers:

"You should recognize that your baby sucking on his hands is a hunger cue."

Rationale :

🟢 Sucking on hands is an early sign of hunger in newborns, before crying begins.

🟢 Early feeding cues help ensure babies are calm and latch more effectively.

🟢 Recognizing these cues supports responsive, demand-based feeding.

🟢 Waiting until crying can make feeding more difficult.

🟢 Education empowers parents to meet baby’s needs promptly.

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Answer 2

Correct Answers:

A client who has a positive pregnancy test

Rationale :

🔵 Pregnancy is an absolute contraindication for intrauterine device (IUD) insertion.

🔵 Inserting an IUD in a pregnant client risks infection, miscarriage, and uterine injury.

🔵 Pregnancy must always be ruled out before any IUD is placed.

🔵 The nurse should assess for signs of pregnancy before scheduling IUD insertion.

🔵 Other factors listed are not absolute contraindications.

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Answer 3

Correct Answers:

"You should check the identity of individuals who come to remove your baby from the room"

Rationale :

🟣 Parents should always verify staff identity before anyone takes the baby.

🟣 This prevents newborn abduction or mix-ups.

🟣 Staff must show proper ID and matching security bands.

🟣 Nurses must reinforce hospital safety protocols.

🟣 Parental vigilance is an important layer of security.

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Answer 4

Correct Answers:

Encourage the client to continue to breastfeed

Rationale :

🟠 Continuing breastfeeding helps empty the affected breast and clear infection.

🟠 Stopping breastfeeding can worsen engorgement and mastitis.

🟠 Mastitis is not an indication to stop feeding unless pus or abscess is present.

🟠 Regular emptying relieves pain and improves healing.

🟠 Support and reassurance reduce maternal anxiety.

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Answer 5

Correct Answers:

Urination urgency and frequency

Rationale :

🟡 Urinary urgency/frequency is common in early pregnancy due to hormonal changes and increased blood flow to pelvic area.

🟡 These symptoms usually improve by the second trimester as the uterus rises.

🟡 Round ligament pain and perineal pressure typically occur later in pregnancy.

🟡 Teaching about normal symptoms reassures clients.

🟡 Advise reporting burning or pain (possible infection).

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Answer 6

Correct Answers:

Perform unbiased teaching

Rationale :

🟢 Unbiased teaching ensures all contraceptive options are presented fairly.

🟢 Nurses must avoid influencing client choices with personal beliefs.

🟢 Client-centered care respects autonomy and informed decision-making.

🟢 Assessment and teaching precede recommendations.

🟢 Promotes trust and rapport.

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Answer 7

Correct Answers:

Suggest the client apply warm compresses to the affected breast

Rationale :

🔵 Warm compresses relieve discomfort, promote milk flow, and speed recovery.

🔵 They help decrease inflammation and facilitate drainage of blocked ducts.

🔵 Heat is preferred over cold or topical corticosteroids for mastitis.

🔵 Supportive measures reduce complications and pain.

🔵 Always combine with continued breastfeeding.

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Answer 8

Correct Answers:

Poor skin turgor

Rationale :

🟣 Poor skin turgor is a sign of dehydration due to severe vomiting.

🟣 Hyperemesis gravidarum causes significant fluid and electrolyte loss.

🟣 Assess for weight loss, tachycardia, and electrolyte imbalances.

🟣 Early intervention prevents complications like renal impairment.

🟣 Monitor for ketonuria and abnormal labs.

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Answer 9

Correct Answers:

Take sips of milk between meals

Rationale :

🟠 Milk can neutralize stomach acid and relieve heartburn safely in pregnancy.

🟠 Large meals, caffeine, and lying down after eating worsen reflux.

🟠 Advise small, frequent meals and upright posture after eating.

🟠 Limit acidic or spicy foods as needed.

🟠 Non-pharmacologic remedies are preferred first.

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Answer 10

Correct Answers:

"You will be prescribed methadone."

Rationale :

🟡 Methadone is the standard medication-assisted therapy for pregnant clients with opioid use disorder.

🟡 It stabilizes maternal opioid levels and reduces withdrawal risk in fetus.

🟡 Methadone is safer than abrupt withdrawal or continued illicit use.

🟡 Other drugs listed are not used for opioid dependence in pregnancy.

🟡 Supervised therapy improves outcomes for mother and baby.

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ATI LPN Maternal Newborn-2023

No.

1 :
A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?

2 :
A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

3 :
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?

4 :
nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

5 :
A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?

6 :
A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

7 :
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following instructions should the nurse include?

8 :
A nurse is collecting data from a client who has hyperemesis gravidarum. Which of the following findings should the nurse anticipate?

9 :
A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn. Which of the following recommendations should the nurse include in the teaching?

10 :
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?

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ATI LPN Maternal Newborn-2023

No.

1 : A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?

2 : A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

3 : A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?

4 : nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

5 : A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?

6 : A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

7 : A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following instructions should the nurse include?

8 : A nurse is collecting data from a client who has hyperemesis gravidarum. Which of the following findings should the nurse anticipate?

9 : A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn. Which of the following recommendations should the nurse include in the teaching?

10 : A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?

1 :
A nurse is reinforcing discharge instructions about breastfeeding with a client. Which of the following statements should the nurse make?

2 :
A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

3 :
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent. Which of the following information should the nurse include?

4 :
nurse is contributing to the plan of care for a client who is postpartum and has mastitis. Which of the following actions should the nurse plan to take?

5 :
A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?

6 :
A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?

7 :
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following instructions should the nurse include?

8 :
A nurse is collecting data from a client who has hyperemesis gravidarum. Which of the following findings should the nurse anticipate?

9 :
A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn. Which of the following recommendations should the nurse include in the teaching?

10 :
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder. Which of the following statements should the nurse make?