Questions 40

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ATI LPN Maternal Newborn 2023 Questions

Extract:

A nurse is collecting data from a client who has hyperemesis gravidarum.


Question 1 of 5

Which of the following findings should the nurse anticipate?

Correct Answer: B

Rationale: Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.

Extract:


Question 2 of 5

A nurse is reinforcing discharge teaching about home safety with a client who is postpartum. In which of the following positions should the nurse instruct the client to place their newborn in the crib?

Correct Answer: A

Rationale: Placing the newborn supine reduces the risk of sudden infant death syndrome (SIDS), ensuring optimal airway patency and safety during sleep.

Extract:

A nurse is assisting with the admission of a client who has hyperemesis gravidarum.


Question 3 of 5

Which of the following laboratory tests is the priority to complete?

Correct Answer: C

Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.

Extract:

A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The client's blood pressure is low (80/40 mm Hg), indicating hypotension, a common side effect of epidural anesthesia during labor. Administering a bolus of intravenous fluids, such as lactated Ringer's solution, is the initial intervention to increase intravascular volume, improving blood pressure and perfusion to vital organs.

Extract:

A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.


Question 5 of 5

Which of the following conditions should the nurse include as a risk factor?

Correct Answer: A

Rationale: Retained placental fragments can lead to postpartum hemorrhage due to incomplete expulsion, causing ongoing bleeding. Failure of the uterus to contract effectively increases bleeding risk, making it a significant factor.

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