ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, 4 hr postpartum, lochia rubra, fundus midline and firm
Question 1 of 5
A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Checking for blood under the buttock ensures no hidden bleeding, as pads may not capture all lochia, despite a firm, midline fundus.
Extract:
baby, shoulder dystocia, turtle sign
Question 2 of 5
The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):
Correct Answer: A,B,C,D,E
Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.
Extract:
patient, fetal demise at 30 weeks gestation
Question 3 of 5
You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient?
Correct Answer: B
Rationale: This response expresses empathy and invites the patient to share, supporting grief processing.
Extract:
patient, magnesium sulfate, preterm labor, 1 gram/hour
Question 4 of 5
Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:
Correct Answer: B
Rationale: A respiratory rate of 9 indicates potential magnesium toxicity, requiring immediate cessation of the infusion and administration of calcium gluconate.
Extract:
client, preterm labor, amniocentesis for L/S ratio
Question 5 of 5
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?
Correct Answer: A
Rationale: The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity, crucial in preterm labor to evaluate the risk of respiratory distress syndrome.