ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client with preeclampsia receiving IV magnesium sulfate
Question 1 of 5
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: A
Rationale: Hyporeflexia is a sign of magnesium toxicity, a serious adverse effect requiring immediate reporting.
Extract:
Client who is 4 hr postpartum with four saturated perineal pads in the past hour
Question 2 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse notes four saturated perineal pads in the past hour. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal assessment and massage address uterine atony, a common cause of postpartum hemorrhage.
Extract:
Client at 10 weeks of gestation at first prenatal visit
Question 3 of 5
A nurse is reviewing the laboratory data for a client who is at her first prenatal visit. The client is at 10 weeks of gestation. Which of the following manifestations should the nurse report to the provider?
Correct Answer: A
Rationale: 2+ ketonuria suggests inadequate nutrition or metabolism, requiring further evaluation.
Extract:
Client with vaginal candidiasis
Question 4 of 5
A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Inserting the suppository along the posterior vaginal wall ensures proper placement and absorption.
Extract:
Newborn with neonatal abstinence syndrome
Question 5 of 5
A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Determining the respiratory rate is critical due to the risk of respiratory distress in neonatal abstinence syndrome.