ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
Vital Signs: Temperature: 36.6°C (98°F), Heart rate: 112/min, Respiratory rate: 20/min, Blood pressure: 92/52 mm Hg. Diagnostic Results: Hct: 50% (Normal: 37% to 47%), Blood glucose: 110 mg/dL (Normal: 74 to 106 mg/dL), Hgb: 18 g/dL (Normal: 12 to 16 g/dL), Urinalysis: Potassium: 3.2 mEq/L (Normal: 3.5 to 5 mEq/L), Ketones: positive (Normal: none), Protein: negative (Normal: none). Nurses' Notes: Client presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. Client states that they have been unable to retain even clear fluids for the past 48 hours. Client denies pain. Client reports a history of migraines and asthma.
Question 1 of 5
Complete the diagram by selecting 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.
Correct Answer: C
Rationale: Hyperemesis gravidarum is characterized by severe nausea and vomiting. Actions: Inspect mucous membranes for dehydration; administer antiemetics. Parameters: Monitor electrolyte values and urine ketones.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL.
Question 2 of 5
How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.25
Rationale:
Step 1: (0.5 mg ÷ 1 mg) × 0.5 mL = 0.5 × 0.5 mL = 0.25 mL. The nurse should administer 0.25 mL to deliver the prescribed 0.5 mg dose.
Extract:
A nurse is caring for a client who is at 41 weeks of gestation.
Question 3 of 5
The nurse should understand that which of the following findings can indicate a prenatal complication in this client?
Correct Answer: D
Rationale: Blurred vision can indicate a serious prenatal complication such as preeclampsia, which is characterized by high blood pressure and can pose significant risks to both mother and baby if not managed properly.
Extract:
A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.
Extract:
A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.
Question 5 of 5
Which of the following adverse effects should the nurse report to the provider?
Correct Answer: A
Rationale: Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.