ATI LPN
ATI PN Maternal Newborn 2023 Questions
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 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
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 2 of 5
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 3 of 5
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.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 4 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: C,E,A,B,D
Rationale: 1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample. 2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site. 3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test. 4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site. 5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.
Extract:
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: A fundus that is firm but deviated to the left suggests that the bladder may be distended. Emptying the bladder can help the uterus to return to its midline position and promote proper uterine involution. Notifying the provider may be necessary if the problem persists, but the first step is to address the most likely cause of the deviation.