ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, Hispanic, labor and delivery
Question 1 of 5
A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client?
Correct Answer: B
Rationale: Hispanic clients may request cold fluids post-delivery to restore body balance, a cultural practice.
Extract:
client, breastfeeding, newborn hydration concerns
Question 2 of 5
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
Correct Answer: B
Rationale: The number of wet diapers (6-8 per day) is a reliable indicator of adequate hydration in a breastfed newborn.
Extract:
client, primigravida, 40 weeks gestation, thinks she is in labor
Question 3 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor? (Select all that apply):
Correct Answer: A,C,D
Rationale: A, C, D: Ruptured membranes, cervical dilation, and frequent contractions confirm labor. B is incorrect as labor pain is typically in the lower abdomen or back.
Extract:
client, vaginal birth 2 hours ago
Question 4 of 5
A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):
Correct Answer: B,C,D
Rationale: B, C, D: These actions assess uterine involution and bleeding. A is incorrect as massaging a firm fundus is unnecessary, and E is incorrect as terbutaline is inappropriate for a boggy fundus.
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.