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 4
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
Potential Condition
Parameter to Monitor
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.
Extract:
A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy.
Question 2 of 4
Which of the following findings indicates that the fetus is at risk?
Correct Answer: C
Rationale: Recurrent variable decelerations in FHR indicate possible umbilical cord compression, suggesting a risk to the fetus.
Extract:
History and Physical: 41 weeks of gestation, cesarean birth. Nurses' Notes: Client reports malaise, chills, decreased appetite 3 days postpartum. Vital Signs: Temperature 38.4° C, Heart rate 108/min. Assessment: Boggy uterus, foul-smelling lochia.
Question 3 of 4
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
Potential Condition
Parameter to Monitor
Correct Answer: C, B, C, C, E
Rationale: Condition: Endometritis - infection signs like fever and foul lochia. Actions: Monitor lochia; assist with antibiotics (not anticoagulants, corrected). Parameters: Temperature and heart rate assess infection response.
Extract:
Nurses' Notes: Postpartum client 8 hr after vaginal delivery. 0700: Uterus firm, moderate lochia rubra. 1100: Uterus soft, laterally deviated, large lochia rubra.
Question 4 of 4
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F, G
Rationale: C: Lateral deviation suggests displacement; F: Soft uterus risks hemorrhage; G: Large lochia indicates excessive bleeding.
Extract:
Provider Prescriptions: Dinoprostone 10 mg intravaginally. History: 39 weeks 3 days, breech presentation, HSV-2. Assessment: FHR 140/min, lesions on vaginal introitus.
Question 5 of 4
For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?
Correct Answer: D
Rationale: Lesions noted (HSV-2) are a contraindication for dinoprostone due to infection risk during labor induction.