Questions 58

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ATI LPN Maternal Newborn 2023 IV Questions

Extract:

Vital Signs 0830: Temperature: 36.9°C (98.4°F), Heart rate: 89/min, Respiratory rate: 16/min, Blood pressure: 110/60 mm Hg, Oxygen saturation: 97% on room air. 0930: Temperature: 38.2°C (100.8°F), Heart rate: 90/min, Respiratory rate: 20/min, Blood pressure: 120/68 mm Hg, Oxygen saturation: 98% on room air. A nurse is caring for a 27-year-old female client at 32 weeks gestation in the labor and delivery unit admitted for evaluation of a suspected infection during labor.


Question 1 of 5

For each potential provider prescription, click to specify whether the prescription is anticipated or contraindicated for the client: A. Betamethasone 12 mg IM now and repeat in 24 hr, B. Position the client supine, C. Terbutaline 0.25 mg Subcutaneous now, D. Collect a urine sample.

Prescription AnticipatedContraindicated
Betamethasone 12 mg IM now and repeat in 24 hr (Anticipated)
Position the client supine (Contraindicated)
Terbutaline 0.25 mg Subcutaneous now (Anticipated)
Collect a urine sample (Anticipated)

Correct Answer: A,C,D

Rationale: Betamethasone aids fetal lung maturity, terbutaline delays preterm labor, and urine sample assesses infection; supine position risks uterine perfusion.

Extract:

A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.


Question 2 of 5

Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Frequent contractions (more than every 10 minutes) indicate preterm labor, showing understanding of a key symptom.

Extract:

A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy.


Question 3 of 5

Which of the following discomforts should the nurse include in the teaching?

Correct Answer: C

Rationale: Urination urgency and frequency are common first-trimester discomforts due to hormonal changes and uterine pressure on the bladder.

Extract:

A nurse in an obstetric clinic is caring for four clients.


Question 4 of 5

The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

Correct Answer: B

Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.

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: C

Rationale: Offering an ice pack reduces swelling and numbs perineal pain, a standard intervention within the first 24 hours post-delivery.

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