ATI LPN
PN ATI Maternal Newborn 2020 Questions
Extract:
Newborn whose mother had gestational diabetes, blood glucose level of 30 mg/dL and is asymptomatic.
Question 1 of 5
A nurse is caring for a newborn whose mother had gestational diabetes. The newborn has a blood glucose level of 30 mg/dL and is asymptomatic. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Feeding provides glucose to correct asymptomatic hypoglycemia, preventing further decline.
Extract:
Gravida 3 Para 2, previous cesarean birth, 35 weeks of gestation.
Question 2 of 5
For each finding below, click to specify if the findings are consistent with the first trimester, second trimester, or third trimester of pregnancy. Each finding may be consistent with more than one trimester.
| Finding | 1st Ttrimester | 2nd Trimester | 3rd Trimester |
|---|---|---|---|
| Braxton Hicks contractions | |||
| Round ligament pain and tenderness | |||
| Nausea and vomiting | |||
| Ankle edema | |||
| Nasal congestion | |||
| Linea nigra | |||
| Urinary frequency and urgency |
Correct Answer: A: Second, Third; B: Second, Third; C: First; D: Third; E: First, Third; F: Second, Third; G: First, Third
Rationale: Braxton Hicks and round ligament pain occur in the second and third trimesters; nausea is typical in the first; ankle edema in the third; nasal congestion in the first and third; linea nigra in the second and third; urinary frequency in the first and third.
Extract:
Client who is 19 years old and is at 18 weeks of gestation, reports nausea and vomiting for several weeks, worsened, unable to retain clear fluids for 48 hr, history of migraines and asthma.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress. Action to Take: A. Assist with preparing the client for surgery. B. Inspect mucous membranes. C. Insert a peripheral venous access device. D. Check fundal height. Potential Condition: A. Hydatidiform mole. B. Hyperemesis gravidarum. C. Gestational diabetes mellitus. D. Ectopic pregnancy. Parameter to Monitor: A. Keihauer-Betke values. B. Electrolyte values. C. Blood glucose results. D. Urine ketones.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Hyperemesis gravidarum causes severe nausea and vomiting, requiring IV fluids (via venous access) and monitoring of mucous membranes for dehydration. Electrolyte values and urine ketones assess dehydration and metabolic status.
Extract:
Question 4 of 5
A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the number of tablets: 2 g = 2000 mg. Divide by the available dose: 2000 mg ÷ 500 mg = 4 tablets.
Extract:
Client who is at 24 weeks of gestation, glucose value is 130 mg/dL.
Question 5 of 5
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A glucose level of 130 mg/dL is above the threshold for a 1-hr glucose test, indicating the need for a 3-hr oral glucose tolerance test to confirm gestational diabetes.