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.
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:
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Position the newborn's car seat at a 45° angle.' is correct to keep the airway open and prevent slumping.
Extract:
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Question 3 of 5
Which of the following actions should the nurse encourage the client to take?
Correct Answer: C
Rationale: Eating dry, bland foods in the morning, such as crackers or toast, can help manage morning sickness by settling the stomach before getting out of bed.
Extract:
Nurses' Notes: Client at 38 weeks of gestation presents with fluid leaking from vagina. Mild contractions 20 min apart at 0630, 15 min apart at 0830. Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability.
Question 4 of 5
After review of the client's EMR, which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
Correct Answer: A, D, E, G; B, F; C
Rationale: A: Anticipated - helps labor progress; B: Non-essential - no indication for catheterization; C: Contraindicated - risks supine hypotensive syndrome; D, E, G: Anticipated - monitor fetal well-being and confirm membrane rupture.
Extract:
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: I will need to attend a support group when I get home.' is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy, which can be a distressing experience.