ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Question 1 of 5
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
Correct Answer: D
Rationale: Early and frequent ambulation promotes circulation, reducing venous stasis and the risk of thrombophlebitis.
Extract:
A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia.
Question 2 of 5
Which of the following interventions should the nurse recommend including in the plan?
Correct Answer: A
Rationale: Repositioning every 2-3 hours ensures all skin areas are exposed to phototherapy light, enhancing bilirubin breakdown.
Extract:
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Question 3 of 5
Which of the following conditions should the nurse include as a risk factor?
Correct Answer: D
Rationale: Retained placental fragments prevent effective uterine contraction, leading to postpartum hemorrhage.
Extract:
A nurse is collecting data from a client who is at 28 weeks of gestation.
Question 4 of 5
Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
Extract:
Nurses' Notes: Client at 28 weeks, gravida 4, para 3, vaginal bleeding for 2 hr, saturating pads with bright red blood, no abdominal pain. Abdomen soft, nontender, fundal height 27 cm, FHR 170/min with minimal variability. Vital Signs: Temp 36.6°C, HR 120/min, RR 22/min, BP 86/48 mm Hg, O2 sat 96%. Diagnostic Results: Hct 25%, Hgb 9 g/dL, Platelet 110,000/mm3, WBC 12,000/mm3, Blood type B+.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Condition: ___ Actions: ___ Parameters: ___
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A
Rationale: Painless, bright red bleeding at 28 weeks suggests placenta previa. Bed rest minimizes bleeding risk, and IV access prepares for fluid resuscitation. Monitoring bleeding and fetal well-being assesses stability.