ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 1 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: E,A,C,D,B
Rationale: 1. Wrap a warm, moist cloth around the heel. 2. Cleanse the heel with an antiseptic. 3. Puncture the heel and collect the blood. 4. Apply pressure with a dry gauze pad. 5. Cover the heel with an adhesive bandage.
Extract:
A nurse is reinforcing teaching with a client who is breastfeeding and reports nipple soreness.
Question 2 of 5
Which of the following recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Exposing the affected nipple to the air between feedings can help it to dry and heal, reducing soreness. Air exposure can help prevent bacterial growth and keep the nipple area healthy.
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 3 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:
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant.
Question 4 of 5
Which of the following risk factors should the nurse include in the teaching?
Correct Answer: D
Rationale: Chronic hypertension is a well-known risk factor for preeclampsia as it indicates pre-existing cardiovascular issues that can predispose one to developing preeclampsia during pregnancy.
Extract:
A nurse in the newborn nursery is caring for an infant who has trisomy 21.
Question 5 of 5
When collecting data, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A single crease in the palm, known as a simian crease, is a common characteristic seen in infants with trisomy 21 (Down syndrome) due to the unique hand structure associated with this condition.