ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse notes maternal exposure to rubella during pregnancy.
Question 1 of 5
After delivery, the nurse should monitor the newborn for which of the following conditions?
Correct Answer: C
Rationale: Deafness is a known congenital defect associated with rubella syndrome from maternal exposure during pregnancy.
Extract:
Nurses' Notes: Newborn is lying in bassinet, lightly swaddled. Jittery with a weak cry when disturbed. Extremities mottled with acrocyanosis. Respirations rapid and unlabored. Vital Signs: Axillary temperature 36° C, Heart rate 132/min, Respiratory rate 72/min, Weight 4,366 g. Maternal history: Urine drug screen positive for marijuana.
Question 2 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.
Extract:
Provider Prescriptions: Dinoprostone 10 mg intravaginally. History: 39 weeks 3 days, breech presentation, HSV-2. Assessment: FHR 140/min, lesions on vaginal introitus.
Question 3 of 5
For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?
Correct Answer: D
Rationale: Lesions noted (HSV-2) are a contraindication for dinoprostone due to infection risk during labor induction.
Extract:
A nurse is caring for a client who is postpartum and has inverted nipples.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing breast shells in the bra can help draw out inverted nipples by applying gentle pressure, making breastfeeding easier for the newborn.
Extract:
Nurses' Notes: Client at 18 weeks of gestation with nausea and vomiting for weeks, unable to retain fluids for 48 hr. Vital Signs: Heart rate 112/min, BP 92/52 mm Hg. Labs: Hgb 18 g/dL, Potassium 3.2 mEq/L, Ketones positive.
Question 5 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.