ATI LPN
PN Maternal Newborn 2020 with NGN Questions
Extract:
Newborn who is 1 hr old and born at 43 weeks of gestation
Question 1 of 5
A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: C: Post-term newborns have minimal vernix due to reabsorption. D: Dry, cracked skin is common due to prolonged amniotic fluid exposure. E: Long nails result from extended fetal development.
Extract:
Client at 10 weeks of gestation at first prenatal visit
Question 2 of 5
A nurse is reviewing the laboratory data for a client who is at her first prenatal visit. The client is at 10 weeks of gestation. Which of the following manifestations should the nurse report to the provider?
Correct Answer: A
Rationale: 2+ ketonuria suggests inadequate nutrition or metabolism, requiring further evaluation.
Extract:
Four newborns: one with blue hands and feet and axillary temperature of 36.6°C, one with 12% birth weight loss, one 24 hr post-circumcision with yellow exudate, one with blood glucose of 63 mg/dL
Question 3 of 5
A nurse is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse attend to first?
Correct Answer: A
Rationale: Cyanosis and low temperature suggest circulation and thermoregulation issues, requiring immediate attention.
Extract:
Client at 34 weeks of gestation who received nifedipine
Question 4 of 5
A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?
Correct Answer: B
Rationale: Nifedipine, a calcium channel blocker, is used to lower blood pressure or relax uterine muscles.
Extract:
Client at 12 weeks of gestation
Question 5 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: A
Rationale: At 12 weeks, fetal heart tones are auscultated in the suprapubic area, where the uterus is located.