LPN LPN
ATI Pediatrics Test Bank
1. 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.
2. A breastfeeding mother is experiencing nipple pain. What should the nurse instruct her to do?
- A. Use soap and water to clean her nipples
- B. Apply warm compresses to her breasts
- C. Ensure the baby is latching on properly
- D. Limit breastfeeding to every 4 hours
Correct answer: C
Rationale: When a breastfeeding mother experiences nipple pain, ensuring the baby latches on properly is essential. Proper latch-on technique can help prevent and alleviate nipple pain by ensuring the baby is effectively extracting milk and not causing undue pressure or friction on the nipple. This guidance can promote a more comfortable breastfeeding experience for the mother and improve milk transfer for the baby.
3. 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.
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. A new mother is learning to breastfeed her newborn. Which position is recommended for a mother recovering from a cesarean section?
- A. Cradle hold
- B. Football hold
- C. Side-lying position
- D. Cross-cradle hold
Correct answer: B
Rationale: The football hold is recommended for mothers recovering from a cesarean section because it positions the baby higher up and away from the incision site, avoiding pressure on the abdomen. This hold also provides better support for the baby's head and neck, making it a more comfortable position for both the mother and the newborn.
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