ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy.
Question 1 of 5
For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: Hyporeflexia is an early sign of magnesium toxicity, indicating excessive neuromuscular blockade, requiring immediate reporting.
Extract:
Medical History: 26-year-old primigravida at 28 weeks, obese, no hypertension or diabetes history, presents with elevated blood pressure, peripheral edema, headaches. Physical Examination: Alert, oriented, 3+ deep tendon reflexes, +2 pitting edema, FHR 140/min with moderate variability. Diagnostic Results: Hgb 10 g/dL, Hct 35%, Platelet count 95,000/mm3, AST 200 units/L, ALT 25 units/L, Total bilirubin 1.8 mg/dL, Urine 2+ protein. Vital Signs: BP 158/100 mm Hg (0900), 162/110 mm Hg (1000), HR 90-95/min, RR 16-20/min, Temp 37°C, O2 sat 96-98%.
Question 2 of 5
The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A
Rationale: Severe hypertension (162/110 mm Hg) risks stroke and eclampsia, requiring immediate antihypertensive treatment, followed by addressing low platelet count (95,000/mm³) indicating HELLP syndrome and bleeding risk.
Extract:
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.
Extract:
Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.
Question 4 of 5
Which of the following findings should the nurse report to the RN? Select all that apply.
Correct Answer: A,E,G
Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.
Extract:
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Question 5 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The chest clip should be at armpit level to ensure proper harness positioning for maximum safety.