ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
client, trial of labor for vaginal birth after cesarean (TOLAC)
Question 1 of 5
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC). Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The type of incision (e.g., low transverse vs. classical) determines the risk of uterine rupture during VBAC, making it a critical factor for TOLAC eligibility.
Extract:
newborn, mother positive for hepatitis B surface antigen
Question 2 of 5
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Correct Answer: C
Rationale: Administering both hepatitis B immune globulin and the vaccine within 12 hours of birth provides immediate protection and initiates long-term immunity against hepatitis B.
Extract:
patient, exclusive breastfeeding, latching concerns
Question 3 of 5
Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)
Correct Answer: A,B,E,F
Rationale: A: A lactation consultant provides expert guidance. B: Emotional support and partner involvement foster a supportive environment. E: Audible swallowing and comfort indicate effective latch. F: Proper positioning and latch techniques ensure successful breastfeeding. C and D are incorrect as they undermine exclusive breastfeeding and may cause discomfort.
Extract:
client, active labor, late decelerations on fetal monitor
Question 4 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.
Extract:
newborn, immediately following delivery
Question 5 of 5
A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?
Correct Answer: D
Rationale: Drying and stimulating the newborn ensures airway patency and thermoregulation, critical initial steps in neonatal resuscitation.