ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Newborn with signs of respiratory distress, jitteriness, and lethargy.
Question 1 of 5
A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Obtaining blood glucose by heel stick is the priority action because the symptoms described could indicate hypoglycemia, especially in a newborn. Prompt assessment and management of blood glucose levels are essential.
Extract:
Client who has just learned she is pregnant.
Question 2 of 5
A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: A
Rationale: Facial edema can be a sign of preeclampsia, a serious complication of pregnancy characterized by high blood pressure and protein in the urine. Prompt notification of the healthcare provider is essential for further evaluation and management.
Extract:
Client who is at 6 weeks of gestation.
Question 3 of 5
A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Quickening refers to the first perception of fetal movements by the mother and typically occurs around 16 to 20 weeks of gestation, which is during the second trimester, aligning with the fourth and fifth months.
Extract:
Client who is at 20 weeks of gestation.
Question 4 of 5
A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Moderate exercise can help improve your circulation and is generally safe during pregnancy, addressing the client's concerns while promoting overall well-being.
Extract:
Client who is at 36 weeks of gestation, physical examination shows lungs clear, gravid abdomen, fundal height 37 cm, facial edema, 3+ edema in lower extremities, mild anxiety, patellar reflex 3+, clonus negative, fetal heart rate 172/min, BP 143/85.
Question 5 of 5
A nurse is assisting in the care of a client who is 36 weeks of gestations and reported to the clinic for a routine visit. Which of the following findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A,D,E,F
Rationale: Blood pressure (143/85) may indicate gestational hypertension, especially with edema. Cerebral manifestations (e.g., headache) could suggest preeclampsia. Patellar reflex 3+ may indicate hyperreflexia, a preeclampsia sign. Fetal heart rate (172/min) suggests tachycardia, requiring further evaluation.