ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
Nurses' Notes: Client at 28 weeks of gestation with vaginal bleeding for 2 hr, saturating pads with bright red blood. Fundal height 27 cm, FHR 170/min with minimal variability. Vital Signs: Heart rate 120/min, BP 86/48 mm Hg.
Question 1 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Action to Take
Placenta previa
Chorioamnionitis
Cervical insufficiency
Ectopic pregnancy;
Potential Condition
Monitor the administration of ampicillin 2 g IV bolus
Insert a large-bore peripheral IV catheter.
Reinforce with the client to maintain bed rest
Administer methotrexate.
Parameter to Monitor
WBC count
Fetal well-being
Cervical dilation
Vaginal bleeding
Correct Answer:
Rationale: Condition: Placenta previa - painless bright red bleeding. Actions: IV access for fluids; bed rest reduces bleeding. Parameters: Monitor fetal status and bleeding.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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