ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Client receiving terbutaline for preterm labor
Question 1 of 5
A nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Crackles suggest pulmonary edema, a serious complication requiring immediate reporting.
Extract:
Client with preeclampsia receiving IV magnesium sulfate
Question 2 of 5
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: A
Rationale: Hyporeflexia is a sign of magnesium toxicity, a serious adverse effect requiring immediate reporting.
Extract:
Client who has just had a positive pregnancy test, first day of last menstrual period was February 16
Question 3 of 5
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)
Correct Answer: 1123
Rationale: Using Naegele's rule, add 7 days to February 16 (February 23) and subtract 3 months (November 23). Thus, the estimated date of birth is 1123 (November 23).
Extract:
Client receiving epidural anesthesia
Question 4 of 5
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?
Correct Answer: C
Rationale: Tachycardia can occur as a compensatory response to hypotension, a known adverse effect of epidural anesthesia.
Extract:
Client who is postpartum and received methylergonovine
Question 5 of 5
A nurse is collecting data from a client who is postpartum and has received methylergonovine. Which of the following findings should indicate to the nurse that the medication was effective?
Correct Answer: A
Rationale: Methylergonovine causes uterine contractions, and increased uterine tone indicates effective control of postpartum bleeding.