ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
Extract:
A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago in the maternity ward. Exhibits: Vital Signs, Nurses' Notes
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: F,G
Rationale: Large lochia rubra, soft uterine tone, and lateral deviation suggest hemorrhage risks, needing immediate follow-up.
Extract:
A nurse is assisting with providing care for a client who is in labor in the labor and delivery unit. Exhibits: Nurses' Notes, Vital Signs
Question 2 of 5
The nurse is assisting with planning care for the client. After review of the client's electronic medical record (EMR), which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
| Intervention | anticipated | nonessential | or contraindicated |
|---|---|---|---|
| Perform a Nitrazine test (Anticipated) | |||
| Ensure the client maintains a supine position (Contraindicated) | |||
| Prepare the client for catheterization (Nonessential) | |||
| Check client's temperature every hour (Anticipated) | |||
| Encourage frequent ambulation (Anticipated) | |||
| Obtain CBC blood sample (Anticipated) | |||
| Check FHR every 30 min (Anticipated) |
Correct Answer: A,D,E,F,G
Rationale: Anticipated: Nitrazine test, temperature checks, ambulation, CBC, FHR monitoring; Contraindicated: supine position; Nonessential: catheterization.
Extract:
A nurse is assisting with the care of a newborn who is 4 hours old in the neonatal unit. Exhibits: History and Physical, Nurses Notes, Vital Signs, Diagnostic Results
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.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A,B,A,C
Rationale: NAS fits symptoms (jitteriness, weak cry); feeding and glucose checks address it; respiratory status and temperature monitor progress.
Extract:
A nurse is caring for a 32-year-old female client who is at 28 weeks of gestation in the antepartum unit. Exhibits: History and Physical, Nurses' Notes, Physical Examination Results, etc.
Question 4 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.
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A,A,C,B,D
Rationale: Placenta previa matches painless bleeding; bed rest and IV access manage it; fetal well-being and bleeding monitor status.
Extract:
A nurse is preparing to assist with the administration of medications to a client who is 72 hours postpartum following a cesarean birth in the maternity ward. Exhibits: History and Physical, Vital Signs, Laboratory Test Results, Medication Administration Record
Question 5 of 5
Complete the following sentence by using the lists of options. Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for ___ because ___.
Correct Answer: A
Rationale: Rh (
D) immune globulin is unnecessary for an Rh-positive client (O+), requiring clarification.