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.
Question 1 of 5
Select the findings that require immediate follow-up.
Correct Answer: D,G
Rationale: Large lochia rubra, soft uterine tone, and lateral deviation indicate potential hemorrhage or uterine issues needing urgent attention.
Extract:
A nurse is checking the reflexes of a newborn.
Question 2 of 5
Which of the following actions should the nurse use to elicit the Babinski reflex?
Correct Answer: B
Rationale: Stroking upward on the lateral aspect of the sole elicits the Babinski reflex, causing the big toe to extend and toes to fan out, a normal newborn response.
Extract:
A nurse is assisting with the care of a client who was admitted to the postpartum unit. The client is diaphoretic, skin is clammy, pulse is rapid and strong, respirations are shallow. The client reports headache, nausea, and feeling weak.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Elevating the client's legs helps improve venous return to the heart, increasing cardiac output and stabilizing blood pressure. This is a critical intervention for a client showing signs of shock, as indicated by diaphoresis, clammy skin, rapid pulse, shallow respirations, headache, nausea, and weakness.
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 4 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: D
Rationale: Urinalysis for ketones is the priority test because it helps assess the severity of dehydration and malnutrition, which are primary concerns in hyperemesis gravidarum. The presence of ketones indicates fat breakdown due to inadequate caloric intake.
Extract:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using a breast pump helps maintain milk supply and prevent milk stasis, reducing the risk of mastitis, which is an infection caused by blocked milk ducts.