ATI LPN
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 | Anticipated | Contraindicated |
|---|---|---|
| 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 caring for a 37-year-old female client in the labor and delivery unit in early labor with contractions and reports feeling fetal movement.
Question 2 of 5
The nurse should anticipate a provider's prescription for ___ due to the client’s ___.
Correct Answer: A
Rationale: Continuous fetal monitoring ensures observation of fetal heart rate and labor progress in a term client with regular contractions.
Extract:
Nurses' Notes 0830: The client is a gravida 2 para 1 at 30 weeks of gestation. Reports low back pain and abdominal cramping for the past two days. History includes cesarean birth for breech presentation. Reports smoking half a pack of cigarettes per day. BMI is greater than 30. The client is grimacing and has a positive report of fetal movement. External electronic fetal monitoring applied, showing fetal heart rate of 148/min. The abdomen is soft and nontender to palpation. 0845: Uterine contractions every 2–3 minutes, moderate in strength. Sterile vaginal examination reveals cervix dilated to 2 cm, 80% effaced, and -1 station. Mucous vaginal discharge and a small amount of bright red bleeding noted on the perineal pad. Vital Signs: Temperature: 36.8°C (98.2°F), Heart rate: 98/min, Respiratory rate: 18/min, Blood pressure: 112/68 mm Hg, Oxygen saturation: 98% on room air.
Question 3 of 5
For each finding, click to specify if the client finding is consistent with placenta previa, preterm labor, or abruptio placentae: A. Pain report, B. Uterine contractions, C. Perineal pad findings, D. Cervical dilation.
| Findings | Placenta Previa | Preterm Labour | Abruptio Placentae |
|---|---|---|---|
| Pain report | |||
| Uterine contractions | |||
| Perineal pad findings | |||
| Cervical dilation |
Correct Answer: A,B,C,D
Rationale: Pain and contractions suggest preterm labor/abruptio placentae; bleeding fits all three; dilation aligns with preterm labor/placenta previa.
Extract:
Nurses' Notes Two weeks ago (32 weeks gestation): The client presented for a routine visit and denied vaginal bleeding or fluid leakage. Reports mild insomnia and occasional mild uterine cramping. 1+ nonpitting edema noted in bilateral feet and ankles. Weight recorded as 84 kg (185 lb). Today (0930): The client reports mild epigastric pain for the past three days and occasionally 'seeing spots' in her vision. 2+ nonpitting edema noted bilaterally in feet and ankles, and mild facial edema present. The client states her fingers 'swelled up overnight,' preventing her from wearing rings. Weight has increased to 86 kg (190 lb). Vital Signs: Blood pressure: 160/100 mm Hg, Heart rate: 88/min, Respiratory rate: 18/min, Temperature: 36.9°C (98.4°F), Oxygen saturation: 98% on room air. Diagnostic Results: Hemoglobin: 10 g/dL, Hematocrit: 35.9%, Platelet count: 95,000/mm³, AST: 200 U/L, ALT: 25 U/L, Total bilirubin: 1.8 mg/dL, Urine protein: 2+.
Question 4 of 5
Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: A,D,E,F
Rationale: Low platelets, rapid weight gain, edema, high BP, and proteinuria indicate preeclampsia, requiring immediate reporting.
Extract:
History and Physical: The client reports a history of one previous cesarean section due to breech presentation. She smokes half a pack of cigarettes daily and has a BMI greater than 30. The client denies leakage of amniotic fluid and describes positive fetal movement. Vital Signs: Temperature: 98.6°F (37°C), Pulse: 88 beats/min, Respiratory Rate: 16 breaths/min, Blood Pressure: 128/78 mmHg, Oxygen Saturation: 98% on room air. Nurses' Notes (0830 and 0845): 0830: The client is grimacing and reports discomfort. Fetal heart rate is 148 beats per minute. Fundal height measures 28 cm. 0845: Uterine contractions every 2 to 3 minutes, moderate in intensity, lasting 60 seconds.
Question 5 of 5
The nurse should recommend to first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: Frequent contractions indicate preterm labor risk at 30 weeks; prior cesarean increases uterine rupture risk, both needing prompt attention.