ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
baby, shoulder dystocia, turtle sign
Question 1 of 5
The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):
Correct Answer: A,B,C,D,E
Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.
Extract:
client, episiotomy pain 8 hours post-delivery
Question 2 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Ice packs reduce inflammation and pain in the perineum during the first 24 hours post-delivery.
Extract:
client, vaginal delivery, methylergonovine IM
Question 3 of 5
A nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
Correct Answer: B
Rationale: Methylergonovine promotes uterine contractions, preventing postpartum hemorrhage due to uterine atony.
Extract:
client, category II or III fetal heart tracing
Question 4 of 5
Intrauterine resuscitation for an evolving category II or III tracing includes (Select all that apply):
Correct Answer: B,C,D,F
Rationale: B, C, D, F: These actions improve fetal oxygenation and perfusion. A and E are incorrect as they delay care or worsen fetal distress.
Extract:
client, preterm labor, 30 weeks gestation, betamethasone
Question 5 of 5
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Betamethasone enhances fetal lung maturity, reducing the risk of respiratory distress syndrome in preterm infants.