ATI LPN

1. A woman in a woman's health clinic is receiving teaching about nutritional intake during her 8th week of gestation. The healthcare provider should advise the woman to increase her daily intake of which of the following nutrients?

• A. Calcium
• B. Vitamin E
• C. Iron
• D. Vitamin D

Correct Answer: C

Rationale: During pregnancy, the recommended daily iron intake is higher compared to non-pregnant women. Pregnant women should aim for 27 mg/day of iron, while non-pregnant women require 15 mg/day if under 19 years old and 18 mg/day if between 19 and 50 years old. Iron is essential during pregnancy to support the increased blood volume and ensure the proper oxygen supply to the fetus.

2. A client presents with uterine hypotonicity and postpartum hemorrhage. Which action should the nurse prioritize?

• A. Check the client's capillary refill.
• B. Massage the client's fundus.
• C. Insert an indwelling urinary catheter for the client.
• D. Prepare the client for a blood transfusion.

Correct Answer: B

Rationale: In a client with uterine hypotonicity and postpartum hemorrhage, the priority is to address the risk of hypovolemic shock, which can lead to vital organ perfusion compromise and potentially death. Massaging the client's fundus helps to control bleeding by promoting uterine contraction and reducing blood loss, making it the nurse's priority intervention in this situation.

3. A parent is receiving discharge teaching from a nurse regarding caring for their newborn after a circumcision. Which instruction should the nurse include?

• A. Apply slight pressure with a sterile gauze pad for mild bleeding.
• B. Inspect the circumcision site every 6 to 8 hours.
• C. Avoid using baby wipes containing alcohol to cleanse the penis with each diaper change.
• D. Clean the circumcision site daily using a warm, wet washcloth.

Correct Answer: A

Rationale: The correct answer is to apply slight pressure with a sterile gauze pad for mild bleeding. This helps to stop bleeding. If the bleeding persists, the parent should contact the healthcare provider for further guidance. Inspecting the circumcision site regularly is important, but every 6 to 8 hours might be too frequent and could disrupt healing. Using baby wipes with alcohol can irritate the sensitive skin, so it is advised to avoid them. Cleaning the circumcision site daily is important, but removing yellow exudate daily is not necessary unless advised by the healthcare provider.

4. A client who is 3 days postpartum is receiving education on effective breastfeeding. Which of the following information should the nurse include?

• A. Your milk will replace colostrum in about 10 days.
• B. Your breasts should feel firm after breastfeeding.
• C. Your newborn should urinate at least 10 times per day.
• D. Your newborn should appear content after each feeding.

Correct Answer: D

Rationale: The nurse should inform the client that a baby who is sated will appear content after feedings. A baby who continues to show signs of hunger (such as rooting, sucking on hands, or crying) may not be effectively emptying the breasts during feedings, indicating a need for further evaluation or support.

5. A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

• A. I should have a goal of maintaining my fasting blood glucose between 100 and 120.
• B. I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater.
• C. I will continue taking my insulin if I experience nausea and vomiting.
• D. I will avoid exercise if my blood glucose is above 250.

Correct Answer: C

Rationale: The nurse should teach the client to continue to take her insulin as prescribed during illness to prevent hypoglycemic and hyperglycemic episodes.