ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
Vital Signs (0900): Temperature: 37° C (98.6° F), Heart rate: 90/min, Blood pressure: 158/100 mm Hg, Respiratory rate: 16/min. (1000): Oxygen saturation: 98% on room air, Heart rate: 95/min, Temperature: 37° C (98.6° F), Blood pressure: 162/110 mm Hg, Respiratory rate: 20/min. Diagnostic Results: Hct: 35% (33 to 47%), Hgb: 10 g/dL (11 to 16 g/dL), Urine: 2+ protein, Platelet count: 95,000/mm³ (150,000 to 400,000/mm³), Aspartate aminotransferase (AST): 200 units/L (0 to 35 units/L), Alanine aminotransferase (ALT): 25 units/L (4 to 36 units/L), Total bilirubin: 1.8 mg/dL (0.3 to 1 mg/dL). Medical History: The client is a 26-year-old primigravida at 28 weeks of gestation. She is obese and has no history of hypertension or diabetes mellitus. She presents with elevated blood pressure, peripheral edema, and headaches. Physical Examination Results: The client is alert and oriented to person, place, and time. Her heart rate is regular, and respirations are even and non-labored. She has 3+ deep tendon reflexes and +2 pitting edema of the bilateral lower extremities. The fetal heart rate (FHR) is 140/min with moderate variability.
Question 1 of 5
Complete the following sentence by using the lists of options. The nurse should first address the client's ___ followed by the client's ___ and ___
Correct Answer: B
Rationale: The nurse should first address the client's blood pressure followed by the client's headache and liver enzymes. High blood pressure indicates preeclampsia, requiring immediate intervention. Headache and elevated liver enzymes (AST 200 units/L) suggest severe preeclampsia complications.
Extract:
A nurse is reinforcing teaching to a client who will undergo amniocentesis.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Amniocentesis is used to detect fetal genetic abnormalities, such as Down syndrome, by analyzing the amniotic fluid for genetic markers.
Extract:
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Oral contraceptives should not be taken while on warfarin because they can increase the risk of blood clots, counteracting the effect of the anticoagulant.
Extract:
A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions.
Question 4 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Assisting the client's partner to apply counterpressure to the sacrum can help alleviate the low-back pain associated with early labor by providing direct pressure to the area experiencing discomfort.
Extract:
A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron.
Question 5 of 5
Which of the following foods should the nurse recommend as the best source of iron?
Correct Answer: B
Rationale: Chicken breast is an excellent source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Consuming chicken breast helps in meeting the increased iron requirements during pregnancy.