ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL.
Question 1 of 5
How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.25
Rationale:
Step 1: (0.5 mg ÷ 1 mg) × 0.5 mL = 0.5 × 0.5 mL = 0.25 mL. The nurse should administer 0.25 mL to deliver the prescribed 0.5 mg dose.
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 2 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: D
Rationale: A respiratory rate of 32/min is significantly elevated and can be a compensatory response to hypovolemia from postpartum hemorrhage. This response occurs as the body tries to increase oxygen delivery due to blood loss.
Extract:
Vital Signs: Heart rate: 132/min, Axillary temperature: 36° C (96.8° F), Respiratory rate: 72/min, Weight: 4,366 g (9 lb 10 oz). History and Physical: The newborn was delivered via spontaneous vaginal birth at 41 weeks of gestation. The mother is gravida 2 para 2 with a history of syphilis in the first trimester, treated with penicillin, and no reoccurrence during the pregnancy. The mother also reports intermittent cannabis use during pregnancy. Diagnostic Results: Blood type: A+, Venereal Disease Research Laboratory (VDRL): negative, Rapid Plasma Reagin (RPR): negative, Urine drug screen: Positive for marijuana, negative for opiates, cocaine, amphetamines, or barbiturates. Nurses' Notes: The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Hypoglycemia is most likely given the newborn's jitteriness, weak cry, and mottled extremities. Actions: Feed the newborn to increase blood sugar; monitor phototherapy for jaundice. Parameters: Assess skin integrity; monitor bilirubin levels.
Extract:
A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Inserting the suppository along the posterior vaginal wall ensures proper placement and maximizes the effectiveness of the medication by allowing it to dissolve and be absorbed where it is needed.
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 5 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Decreased BP.â€. This is correct because hyperemesis gravidarum can lead to dehydration, which in turn can cause hypotension (decreased blood pressure).