ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 36 weeks gestation, abdominal pain, dark red vaginal bleeding
Question 1 of 5
A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and dark red vaginal bleeding. The tocodynamometer shows low amplitude high frequency uterine activity. The nurse should identify that the client is likely experiencing which of the following complications?
Correct Answer: C
Rationale: Abruptio placentae presents with painful dark red bleeding and uterine irritability, as described.
Extract:
newborn, vacuum extraction, swelling on head
Question 2 of 5
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Caput succedaneum is swelling from vacuum pressure, crossing suture lines, and resolves in days.
Extract:
client, vaginal delivery, methylergonovine IM
Question 3 of 5
A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
Correct Answer: B
Rationale: Methylergonovine promotes uterine contractions, preventing postpartum hemorrhage due to uterine atony.
Extract:
newborn, mucus bubbling post-birth
Question 4 of 5
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Suctioning the mouth first prevents aspiration and clears the airway effectively.
Extract:
client, active labor, late decelerations on fetal monitor
Question 5 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?
Correct Answer: D
Rationale: Positioning the client on her side improves uterine blood flow, addressing late decelerations caused by uteroplacental insufficiency, and is the first action to take.