ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
Nurses' Notes: Newborn lightly swaddled, jittery, weak cry, mottled extremities, acrocyanosis, rapid respirations. History: Gravida 2 Para 2, vaginal birth at 41 weeks, maternal syphilis treated, intermittent cannabis use. Vital Signs: Temp 36°C, HR 132/min, RR 72/min, Weight 4,366 g. Diagnostic Results: Maternal blood type A+, RPR/VDRL negative, urine drug screen positive for marijuana.
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. Condition: ___ Actions: ___ Parameters: ___
Correct Answer: A
Rationale: Jitteriness, weak cry, and large birth weight suggest hypoglycemia. Feeding stabilizes glucose, and capillary blood confirms diagnosis. Monitoring respiratory status and temperature assesses progress.
Extract:
Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.
Question 2 of 5
Which of the following findings should the nurse report to the RN? Select all that apply.
Correct Answer: A,E,G
Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 3 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: Sedation is a common adverse effect of nalbuphine, an opioid analgesic, causing drowsiness or reduced alertness.
Extract:
Vital Signs: Blood pressure 130/70 mm Hg, Temperature 38.6° C (101.5° F), Respiratory rate 18/min, Heart rate 102/min, Oxygen saturation 98% on room air. History and Physical: Delivered at 37 weeks of gestation, Routine prenatal care, Iron-deficiency anemia, Rubella immune, Shellfish and penicillin allergy. Current Diagnosis: Mastitis. Laboratory Test Results: Blood type O+, Creatinine 0.8 mg/dL, WBC count 9,500/mm3. Medication Administration Record: Ibuprofen 800 mg PO every 6 hr PRN pain, Doxycycline 100 mg PO every 12 hr, Ferrous sulfate 325 mg PO twice daily, Folic acid 0.5 mg PO once daily, Bisacodyl 10 mg PO once daily, Rho(D) immune globulin 300 mcg IM x1. A nurse is preparing to assist with the administration of medications to a client who is 72 hr postpartum following a caesarean birth.
Question 4 of 5
Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for ___ because ___
Correct Answer: A
Rationale: Rh (
D) immune globulin is given to Rh-negative clients to prevent Rh sensitization. Since the client is O+ (Rh-positive), there is no risk of Rh incompatibility, making this medication unnecessary.
Extract:
A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy.
Question 5 of 5
Which of the following discomforts should the nurse include in the teaching?
Correct Answer: D
Rationale: Increased urinary urgency and frequency are common in the first trimester due to hormonal changes and uterine pressure on the bladder.