ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 1 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Decreased BP.â€. This is correct because hyperemesis gravidarum can lead to dehydration, which in turn can cause hypotension (decreased blood pressure).
Extract:
A nurse is reinforcing discharge teaching about breastfeeding with a client.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Feeding the baby for 30 minutes during each feeding is correct. This duration allows adequate time for the baby to receive both foremilk and hindmilk, which is essential for nutrition and satiety.
Extract:
A nurse is collecting data from a client who is 18 hr postpartum.
Question 3 of 5
Which of the following findings require the nurse to intervene?
Correct Answer: A
Rationale: Fundus located to the right of the umbilicus requires intervention. This can indicate a full bladder, which can inhibit uterine contraction and increase the risk of postpartum hemorrhage.
Extract:
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assist the client to empty her bladder.â€. This is correct because a full bladder can cause the uterus to deviate and impede uterine involution. Emptying the bladder helps the uterus to contract properly and return to its normal position.
Extract:
A nurse is assisting with the care of a client who is in active labor. The fetal monitor tracing shows late decelerations.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.