ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
Nurses' Notes: Client at 38 weeks, reports fluid leaking, suspects ruptured membranes. Mild contractions 20 min apart (0630), 15 min apart (0830). Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability. Vital Signs: Temp 37.1°C, HR 93-95/min, RR 13-15/min, BP 130/76-135/78 mm Hg, O2 sat 99-100%.
Question 1 of 5
After review of the client's electronic medical record (EMR), which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Perform a Nitrazine test: Anticipated | |||
| Check client's temperature every hour: Nonessential | |||
| Check FHR every 30 min: Anticipated | |||
| Ensure the client maintains a supine position while in bed: Contraindicated | |||
| Prepare the client for catheterization: Nonessential | |||
| Encourage frequent ambulation: Anticipated |
Correct Answer: A,C,F
Rationale: Nitrazine test confirms ruptured membranes, FHR monitoring every 30 min ensures fetal well-being, and ambulation supports labor progression. Hourly temperature checks and catheterization are not necessary, and supine position risks hypotensive syndrome.
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Question 2 of 5
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Question 5 of 5
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