ATI LPN
PN ATI Capstone Maternal Newborn
1. A client is in the transition phase of labor. Which of the following actions should the nurse take?
- A. Assist the client to void every 3 hours
- B. Monitor contractions every 30 minutes
- C. Place the client in a lithotomy position
- D. Encourage the client to use a pant-blow breathing pattern
Correct answer: D
Rationale: Encouraging the client to use a pant-blow breathing pattern is crucial during the transition phase of labor. This phase is characterized by intense contractions and emotional responses. Pant-blow breathing helps manage pain and anxiety, providing comfort and support to the client. Voiding every 3 hours is not specific to the transition phase and may not address immediate needs. Monitoring contractions every 30 minutes is important but may not be as directly beneficial as focusing on coping mechanisms like breathing techniques. Placing the client in a lithotomy position is generally not recommended during the transition phase as it can impede progress and comfort.
2. According to C.E. Winslow, what is the goal of Public Health?
- A. For people to attain their birthrights and longevity
- B. For the promotion of health and prevention of diseases
- C. For people to have access to basic health services
- D. For people to be organized in their health efforts
Correct answer: A
Rationale: According to C.E. Winslow, the goal of Public Health is for people to achieve their birthrights of health and longevity. This encompasses ensuring that individuals have the opportunity to lead healthy lives and live long, fulfilling ones. It goes beyond just the absence of disease and includes promoting overall well-being and quality of life.
3. What should be the drop rate per minute using a drop factor of 20 drops/ml?
- A. 19 drops/min
- B. 23 drops/min
- C. 36 drops/min
- D. 46.7 drops/min
Correct answer: A
Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.
4. While performing assessments on newborns in the nursery, which finding should the nurse report to the provider?
- A. A two-day old newborn with a respiratory rate of 70.
- B. A 16-hour old newborn who has not passed meconium yet.
- C. A two-day old newborn with a small amount of blood-tinged vaginal discharge.
- D. A 16-hour old newborn with a blood glucose of 45 mg/dL.
Correct answer: A
Rationale: A respiratory rate of 70 in a two-day old newborn is above the normal range and should be reported to the provider. This finding may indicate respiratory distress or another underlying issue that needs prompt attention. Choices B, C, and D are within normal limits for newborns and do not require immediate reporting to the provider.
5. A healthcare professional is preparing to administer a hepatitis B vaccine. Which of the following should the healthcare professional verify?
- A. Client's allergy to eggs
- B. Client's vaccination history
- C. Client's weight
- D. Client's blood pressure
Correct answer: B
Rationale: The correct answer is B: Client's vaccination history. Before administering the hepatitis B vaccine, it is essential to verify the client's vaccination history to ensure they are due for the vaccine. This helps in preventing unnecessary vaccinations and ensures the appropriate timing and dosage. Option A, the client's allergy to eggs, is not directly related to administering the hepatitis B vaccine. Option C, the client's weight, and option D, the client's blood pressure, are not factors that need to be specifically verified before administering the hepatitis B vaccine.
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