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. 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.
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. A postpartum client is being discharged and asks the nurse when she should expect her menstrual period to return if she is not breastfeeding. The nurse's best response is:
- A. In about 6 to 8 weeks
- B. In about 3 to 4 months
- C. In about 6 months
- D. In about 1 year
Correct answer: A
Rationale: For non-breastfeeding mothers, the return of menstrual periods typically occurs around 6 to 8 weeks postpartum. This timeframe may vary among individuals, but generally, hormonal changes after childbirth lead to the resumption of menstrual cycles within this period.
5. The healthcare provider assesses a postpartum client who is 1 day post-delivery. Which finding would require immediate intervention?
- A. Lochia rubra with a few small clots
- B. Fundus firm and midline
- C. Temperature of 100.4°F (38°C)
- D. Saturated perineal pad in 15 minutes
Correct answer: D
Rationale: A saturated perineal pad in 15 minutes indicates excessive bleeding, which is abnormal postpartum. This finding could suggest hemorrhage, requiring immediate intervention to prevent further complications like hypovolemic shock. Monitoring and managing postpartum bleeding are crucial to ensure the client's safety and prevent serious consequences.
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