ATI LPN
PN ATI Maternal Newborn 2020 Questions
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 1 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.
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 delivered vaginally 3 hr ago.
Question 2 of 5
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago. Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: D
Rationale: An elevated respiratory rate may indicate compensatory response to blood loss in postpartum hemorrhage.
Extract:
Question 3 of 5
A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: A Papanicolaou test screens for cervical cancer by detecting abnormal cervical cells.
Extract:
Client who is recovering from a molar pregnancy.
Question 4 of 5
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Support groups provide emotional support for the psychological impact of a molar pregnancy.
Extract:
Client who has gestational hypertension.
Question 5 of 5
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Recording missed specimens ensures the accuracy of the 24-hr urine protein collection.