ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
Nurses' Notes: The client, who is 28 weeks gestation, gravida 4, para 3, reports a history of vaginal bleeding for the past 2 hours. She states, 'I started bleeding a couple of hours ago, but now I am saturating pads with bright red blood. I’m scared something is going to happen to my baby.' Blood is trickling down her legs. She denies abdominal pain. A perineal pad is saturated with bright red vaginal bleeding. Physical Examination Results: Fundal height is 27 cm. No uterine contractions or irritability. Fetal heart rate: 170/min, minimal variability, no decelerations. Diagnostic Results: Urine: Leukocyte esterase positive, Nitrites positive, Red blood cells: 6.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify: Potential Condition, Actions to Take (Select 2), Parameters to Monitor (Select 2). Potential Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Uterine rupture. Actions: A. Administer methotrexate, B. Administer broad-spectrum antibiotics, C. Prepare for an emergency cesarean birth, D. Reinforce bed rest and maintain IV access, E. Encourage ambulation. Parameters: A. Fetal heart rate, B. Maternal oxygen saturation, C. WBC count, D. Urine output, E. Uterine contractions.
Correct Answer: A,C,D,A,B
Rationale: Painless bleeding suggests placenta previa; cesarean and bed rest manage it; fetal heart rate and oxygen saturation monitor stability.
Extract:
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Question 2 of 5
Which of the following conditions should the nurse include as a risk factor?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.
Extract:
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Platelet count assesses bleeding risk, indicating the client understands its purpose in monitoring clotting ability.
Extract:
A nurse is caring for a client who inquires about available methods of contraception.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Performing unbiased teaching provides comprehensive contraception information, empowering the client to make an informed decision autonomously.
Extract:
A nurse is reinforcing teaching with a client about various contraceptive methods.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Oral contraceptives decrease the risk for endometrial cancer by preventing thickening of the uterine lining, offering a protective effect with prolonged use.