ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client who is pregnant and scheduled for a nonstress test
Question 1 of 5
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Pressing a button when the baby moves helps correlate fetal movement with heart rate changes.
Extract:
Client with maternal serum alpha-fetoprotein screening results
Question 2 of 5
A nurse is discussing a client's maternal serum alpha-fetoprotein screening results with a newly licensed nurse. Which of the following conditions is associated with low levels?
Correct Answer: B
Rationale: Low maternal serum alpha-fetoprotein levels are associated with Down syndrome.
Extract:
Newborn who is 3 hr old
Question 3 of 5
A nurse is collecting data from a newborn who is 3 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: An elevated bilirubin level indicates jaundice, requiring further evaluation and management.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 4 of 5
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)
Correct Answer: 1123
Rationale: Using Naegele's rule, add 7 days to February 16 (February 23) and subtract 3 months (November 23). Thus, the estimated date of birth is 1123 (November 23).
Extract:
Full-term newborn who is 1 day old
Question 5 of 5
A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: A
Rationale: A hemoglobin level of 9.5 g/dL is low for a newborn (normal: 14-24 g/dL) and should be reported.