ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
Nurses' Notes: Newborn is lying in bassinet, lightly swaddled. Jittery with a weak cry when disturbed. Extremities mottled with acrocyanosis. Respirations rapid and unlabored. Vital Signs: Axillary temperature 36° C, Heart rate 132/min, Respiratory rate 72/min, Weight 4,366 g. Maternal history: Urine drug screen positive for marijuana.
Question 1 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.
Question 2 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.
Extract:
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.
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.)
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 reinforcing teaching with a mother who is bottle feeding her newborn with formula.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Prepared formula can be stored in the refrigerator for up to 2 days.' is correct, though typically it’s 24 hours; this aligns with safe storage guidelines.