ATI LPN
PN ATI Maternal Newborn 2020 Questions
Extract:
Question 1 of 5
A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?
Correct Answer: A
Rationale: Intrauterine devices (IUDs) have a failure rate of less than 1%, significantly lower than other methods like sponges (12-24%), oral contraceptives (0.3-9%), or diaphragms (6-12%).
Extract:
Client who is 19 years old and is at 18 weeks of gestation, reports nausea and vomiting for several weeks, worsened, unable to retain clear fluids for 48 hr, history of migraines and asthma.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress. Action to Take: A. Assist with preparing the client for surgery. B. Inspect mucous membranes. C. Insert a peripheral venous access device. D. Check fundal height. Potential Condition: A. Hydatidiform mole. B. Hyperemesis gravidarum. C. Gestational diabetes mellitus. D. Ectopic pregnancy. Parameter to Monitor: A. Keihauer-Betke values. B. Electrolyte values. C. Blood glucose results. D. Urine ketones.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Hyperemesis gravidarum causes severe nausea and vomiting, requiring IV fluids (via venous access) and monitoring of mucous membranes for dehydration. Electrolyte values and urine ketones assess dehydration and metabolic status.
Extract:
Client who delivered vaginally 3 hr ago.
Question 3 of 5
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: D
Rationale: An elevated respiratory rate may indicate compensatory response to blood loss in postpartum hemorrhage.
Extract:
Question 4 of 5
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?
Correct Answer: D
Rationale: Regularly replacing smoke detector batteries ensures safety, while other options increase risks like burns, respiratory issues, or SIDS.
Extract:
Client on a postpartum unit.
Question 5 of 5
A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A reddened area on the calf may indicate deep vein thrombosis, a serious condition requiring immediate reporting.