ATI LPN
PN ATI Maternal Newborn 2020 Questions
Extract:
Newborn who is large for gestational age.
Question 1 of 5
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: B,C
Rationale: Breastfeeding stabilizes glucose levels, and checking blood glucose is critical due to the risk of hypoglycemia in large-for-gestational-age newborns.
Extract:
Newborn who was born 2 hr ago.
Question 2 of 5
A nurse is collecting data from a newborn who was born 2 hr ago. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Hypotonia suggests potential neurological issues, requiring immediate provider notification.
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:
Client who is in labor and has an epidural infusion for pain management, blood pressure is 80/40 mm Hg.
Question 4 of 5
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A fluid bolus of lactated Ringer's addresses hypotension caused by epidural anesthesia, improving maternal blood pressure.
Extract:
Question 5 of 5
A nurse is assisting a provider with a pelvic examination of a client during her first prenatal visit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An empty bladder improves access and comfort during a pelvic examination.