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.
Action to Take
Potential Condition
Parameter 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:
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 2 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:
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 3 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:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.
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 4 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:
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 5 of 5
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.