LPN LPN
ATI Pediatrics Test Bank
1. The caregiver is teaching a new parent about signs of adequate breastfeeding. Which statement by the parent indicates understanding?
- A. My baby should have a bowel movement once a week.
- B. My baby should wet at least six diapers a day.
- C. My baby should feed for 5 minutes on each breast.
- D. My baby should sleep through the night without waking up to feed.
Correct answer: B
Rationale: Wetting at least six diapers a day is a key indicator of adequate breastfeeding as it shows that the baby is properly hydrated and receiving enough milk.
2. The healthcare provider is preparing to administer Rh immune globulin (RhoGAM) to a postpartum client. This medication is indicated for:
- A. Rh-negative individuals with Rh-positive infants
- B. Rh-positive individuals with Rh-negative infants
- C. All individuals regardless of Rh status
- D. Individuals with a history of Rh incompatibility
Correct answer: A
Rationale: Rh immune globulin (RhoGAM) is administered to Rh-negative individuals who have given birth to Rh-positive infants to prevent Rh sensitization. When an Rh-negative individual gives birth to an Rh-positive infant, there is a risk of the mother developing antibodies against the Rh-positive blood cells, which can lead to hemolytic disease of the newborn in subsequent pregnancies. Rh immune globulin is given to prevent this sensitization in Rh-negative individuals who deliver Rh-positive infants.
3. The nurse is assessing a postpartum client's fundus. Where should the nurse expect to find the fundus 24 hours after delivery?
- A. At the level of the umbilicus
- B. 1 cm above the symphysis pubis
- C. At the level of the xiphoid process
- D. 2 cm below the umbilicus
Correct answer: A
Rationale: After delivery, the fundus is expected to be at the level of the umbilicus 24 hours postpartum. This position indicates that the uterus is involuting properly. Assessing the fundal height helps monitor the progress of uterine involution and can identify any potential complications like postpartum hemorrhage.
4. The healthcare provider is assessing a newborn for signs of hypoglycemia. Which finding is consistent with hypoglycemia?
- A. Jitteriness
- B. Flushed skin
- C. Quiet alert state
- D. Strong cry
Correct answer: A
Rationale: Jitteriness is a common clinical manifestation of hypoglycemia in newborns. It is important to recognize this sign promptly as it can indicate a potentially serious condition that requires immediate attention and intervention to prevent complications.
5. When teaching a new mother how to perform perineal care, which instruction should be included?
- A. Use a front-to-back motion when cleaning the perineal area
- B. Use a peri-bottle filled with warm water after each voiding
- C. Avoid using any cleansing solution on the perineal area
- D. Apply powder to the perineal area to keep it dry
Correct answer: B
Rationale: Using a peri-bottle filled with warm water after each voiding is essential for proper perineal care as it helps cleanse the area without causing irritation and promotes healing. It is important to avoid using a back-to-front motion to prevent introducing bacteria into the urethra, and using powder may increase the risk of infection. Cleansing solutions specifically formulated for perineal care may be recommended but should be used under healthcare provider guidance.
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