ATI LPN
ATI PN Maternal Newborn 2023 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.)
Correct Answer: C,E,A,B,D
Rationale: 1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample. 2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site. 3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test. 4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site. 5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.
Extract:
A nurse is caring for a full-term newborn who is 1 day old. Laboratory findings: Glucose 60 mg/dL, WBC 10,000/mm³, Platelets 225,000/mm³, Hgb 9.5 g/dL.
Question 2 of 5
Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: A hemoglobin level of 9.5 g/dL is low for a 1-day-old newborn (normal range 14-24 g/dL) and may indicate anemia, requiring further evaluation.
Extract:
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids.
Question 3 of 5
Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: A
Rationale: I will apply witch hazel pads after urination.' is correct. Witch hazel soothes the perineal area and reduces discomfort.
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: A
Rationale: Chronic hypertension is a significant risk factor for preeclampsia. It increases the likelihood of developing this condition, which can lead to complications for both mother and baby.
Extract:
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.
Question 5 of 5
Which of the following findings should the nurse monitor the client for as an indication of magnesium sulfate toxicity?
Correct Answer: A
Rationale: A respiratory rate of 10/min indicates magnesium sulfate toxicity, which can cause respiratory depression, requiring close monitoring.