ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
Nurses' Notes: Client at 18 weeks of gestation with nausea and vomiting for weeks, unable to retain fluids for 48 hr. Vital Signs: Heart rate 112/min, BP 92/52 mm Hg. Labs: Hgb 18 g/dL, Potassium 3.2 mEq/L, Ketones positive.
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:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.
Extract:
A nurse is caring for a client who inquires about a cervical cap for contraception.
Question 2 of 5
Which of the following manifestations is a contraindication for the use of a cervical cap?
Correct Answer: D
Rationale: A history of toxic shock syndrome (TSS) is a contraindication for using a cervical cap due to the increased risk of infection associated with barrier methods.
Extract:
A nurse in the newborn nursery is caring for an infant who has trisomy 21.
Question 3 of 5
When collecting data, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A single crease in the palm is a common finding in infants with trisomy 21 (Down syndrome). It’s a characteristic physical feature due to the genetic condition.
Extract:
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids.
Question 4 of 5
Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: A
Rationale: I will apply witch hazel pads after urination.' is correct. Witch hazel soothes the perineal area and reduces discomfort.
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 5 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:
Rationale: Condition: Placenta previa - painless bright red bleeding. Actions: IV access for fluids; bed rest reduces bleeding. Parameters: Monitor fetal status and bleeding.