ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
Nurses' Notes: Client at 28 weeks, gravida 4, para 3, vaginal bleeding for 2 hr, saturating pads with bright red blood, no abdominal pain. Abdomen soft, nontender, fundal height 27 cm, FHR 170/min with minimal variability. Vital Signs: Temp 36.6°C, HR 120/min, RR 22/min, BP 86/48 mm Hg, O2 sat 96%. Diagnostic Results: Hct 25%, Hgb 9 g/dL, Platelet 110,000/mm3, WBC 12,000/mm3, Blood type B+.
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: Painless, bright red bleeding at 28 weeks suggests placenta previa. Bed rest minimizes bleeding risk, and IV access prepares for fluid resuscitation. Monitoring bleeding and fetal well-being assesses stability.
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Warm compresses relieve pain, improve circulation, and promote milk flow, aiding in clearing the infection and reducing engorgement.
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:
A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Double vision suggests severe preeclampsia, requiring immediate evaluation to prevent complications like eclampsia.
Extract:
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Question 5 of 5
Which of the following medications should the nurse plan to administer?
Correct Answer: A
Rationale: Amoxicillin is safe and effective for treating chlamydia during pregnancy, posing no known fetal risks.