ATI LPN Maternal Newborn 2023 IV | Nurselytic

Questions 58

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ATI LPN Maternal Newborn 2023 IV Questions

Extract:

A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.


Question 1 of 5

Which of the following information should the nurse include?

Correct Answer: B

Rationale: Parents should verify the identity of anyone taking the baby from the room. This prevents unauthorized individuals from removing the baby, enhancing security and safety.

Extract:

Nurses' Notes: The newborn is lying in a bassinet, lightly swaddled. Jitteriness observed when disturbed, weak cry, mottled extremities, mild acrocyanosis. Respirations rapid but unlabored. No lethargy, no feedings since birth. Vital Signs: Heart rate: 156/min, Respiratory rate: 64/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 96% on room air, Blood glucose level: 30 mg/dL.


Question 2 of 5

Complete the diagram by dragging from the choices below to specify: Condition, Actions to Take, Parameters to Monitor (2 Correct). Condition Choices: A. Hypoglycemia, B. Congenital heart defect, C. Neonatal sepsis, D. Neonatal abstinence syndrome. Actions: A. Obtain a capillary blood glucose reading, B. Feed the newborn immediately with breastmilk or formula, C. Administer IV glucose as prescribed, D. Initiate phototherapy, E. Place under a radiant warmer. Parameters: A. Blood glucose levels, B. Respiratory effort, C. Serum bilirubin levels, D. Skin integrity, E. Oxygen saturation.

Action to Take

Hypoglycemia

Potential Condition

Obtain a capillary blood glucose reading

Parameter to Monitor

Feed the newborn immediately with breastmilk or formula

Correct Answer: A,A,B,A,B

Rationale: Low glucose (30 mg/dL) and jitteriness indicate hypoglycemia; feeding and glucose checks address it; glucose and respiratory effort monitor progress.

Extract:

A nurse in an obstetric clinic is caring for four clients.


Question 3 of 5

The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

Correct Answer: B

Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.

Extract:

A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.


Question 4 of 5

Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Correct Answer: A

Rationale: Ambulation promotes venous return, preventing blood stasis and reducing thrombophlebitis risk after cesarean birth.

Extract:

A nurse is collecting data from a newborn.


Question 5 of 5

The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?

Correct Answer: A

Rationale: The image showing toes fanning out when the sole of the foot is stroked demonstrates a positive Babinski reflex, a normal newborn response indicating immature nervous system development.

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