ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
Extract:
A nurse is caring for a 24-year-old female client in the postpartum unit. The client has a history of type 1 diabetes mellitus, first diagnosed at 14 years of age, and is on insulin for diabetes management. Exhibits: Vital Signs, Medical History, Nurses Notes, Diagnostic Results
Question 1 of 5
Drag words from the choices below to fill in each blank in the following sentence. Sentence: The nurse should plan to ___ and ___.
Correct Answer: B,A
Rationale: Symptoms (diaphoresis, nausea) in a diabetic client necessitate glucose and ketone checks.
Extract:
A nurse is caring for a 26-year-old primigravida female client who is at 28 weeks of gestation in the maternity ward. The client is obese and has no history of hypertension or diabetes mellitus. Exhibits: History and Physical, Medical History, Vital Signs, Physical Examination Results, Nurse's Notes, Provider's Prescriptions, Diagnostic Results
Question 2 of 5
Complete the following sentence by using the list of options. The nurse should first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: High BP (160/100 mmHg) is urgent in preeclampsia; headache follows as a symptom to manage.
Extract:
A nurse is assisting with the care of a client who was admitted to the postpartum unit. The client is diaphoretic, skin is clammy, pulse is rapid and strong, respirations are shallow. The client reports headache, nausea, and feeling weak.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Elevating the client's legs helps improve venous return to the heart, increasing cardiac output and stabilizing blood pressure. This is a critical intervention for a client showing signs of shock, as indicated by diaphoresis, clammy skin, rapid pulse, shallow respirations, headache, nausea, and weakness.
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 4 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: D
Rationale: Urinalysis for ketones is the priority test because it helps assess the severity of dehydration and malnutrition, which are primary concerns in hyperemesis gravidarum. The presence of ketones indicates fat breakdown due to inadequate caloric intake.
Extract:
A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Offering an ice pack helps reduce swelling and numb the area, providing immediate relief for acute perineal pain, which is a standard postpartum intervention.