ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
Medical History: Gravida 1 Para 1, 41 weeks of gestation, Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. Vital Signs: Temperature 38.4° C (101.1° F), Blood pressure 118/72 mm Hg, Heart rate 108/min, Respiratory rate 20/min. Breasts: Client reports their breasts are starting to feel firmer and heavier. Denies nipple discomfort. Client is bottle-feeding their newborn. Uterus: Boggy and tender to palpation. Fundus at the umbilicus. Lochia: Moderate amount of dark brown, foul-smelling discharge. Bladder: Client reports frequent voiding without difficulty. Lower extremities: Bilateral edema of lower extremities noted without pain, warmth, or tenderness. Nurses' Notes: Client reports general malaise, chills, and a decreased appetite.
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 evaluate the client's progress. Condition Most Likely: ___ Actions to Take: ___ Parameters to Monitor: ___
Correct Answer:
Rationale: The client has fever (38.4°C/101.1°F), tachycardia (HR 108/min), uterine tenderness, and foul-smelling lochia, all of which indicate postpartum uterine infection (endometritis). Administering broad-spectrum antibiotics treats the infection, and oxytocic medication promotes uterine contraction to reduce bacterial growth. Monitoring temperature and lochia amount/odor evaluates treatment progress.
Extract:
A nurse is caring for a 2-day-old newborn who is undergoing phototherapy for treatment of hyperbilirubinemia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Frequent breastfeeding enhances bilirubin excretion through stooling and supports hydration during phototherapy.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Question 3 of 5
Which of the following food options should the nurse recommend as the best source of dietary calcium?
Correct Answer: B
Rationale: Kale is a rich plant-based source of calcium, providing approximately 90 mg per cup, ideal for those avoiding dairy.
Extract:
A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.
Question 4 of 5
In which of the following positions should the nurse instruct the client to place their newborn in the crib?
Correct Answer: B
Rationale: The supine position reduces the risk of sudden infant death syndrome (SIDS) by keeping the airway open.
Extract:
A nurse is planning to administer Rho(D) immune globulin to a client who is postpartum.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Rho(
D) immune globulin should be given within 72 hours after delivery to prevent Rh isoimmunization in an Rh-negative mother with an Rh-positive newborn.