ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
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 1 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 charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Question 2 of 5
Which of the following conditions should the nurse include as a risk factor?
Correct Answer: A
Rationale: Retained placental fragments prevent uterine contraction, increasing the risk of postpartum hemorrhage.
Extract:
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Question 3 of 5
Which of the following actions should the nurse encourage the client to take?
Correct Answer: A
Rationale: Eating dry, bland foods in the morning helps reduce nausea by gently settling the stomach.
Extract:
A nurse is checking the reflexes of a newborn.
Question 4 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 collecting data on a newborn who is 1 day old.
Question 5 of 5
Which of the following findings is a manifestation of dehydration?
Correct Answer: B
Rationale: Capillary refill greater than 3 seconds indicates poor perfusion, a sign of dehydration in a newborn.