ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
newborn, mother positive for hepatitis B surface antigen
Question 1 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Correct Answer: C
Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.
Extract:
client, vaginal birth 2 hours ago
Question 2 of 5
A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hours ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
Correct Answer: A
Rationale: Precipitous birth increases the risk of uterine atony, a major cause of postpartum hemorrhage due to rapid delivery.
Extract:
patient, magnesium sulfate, preterm labor, 1 gram/hour
Question 3 of 5
Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:
Correct Answer: B
Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.
Extract:
client, 38 weeks gestation, biophysical profile score of 10
Question 4 of 5
A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A biophysical profile score of 10 is normal, indicating fetal well-being, so reassurance is appropriate.
Extract:
client, epidural anesthesia, BP 80/40 mm Hg, fetal heart rate 100 beats/min
Question 5 of 5
A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 100 beats/min. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: A lateral position relieves vena cava compression, improving maternal BP and fetal perfusion, addressing hypotension and fetal bradycardia.