ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
The placenta was shiny and smooth
Question 1 of 5
The nurse noted that the placenta was shiny and smooth. Which side of the placenta was delivered first?
Correct Answer: A
Rationale: The shiny, smooth side is the fetal side, also called the Schultz mechanism.
Extract:
A client who is receiving oxytocin via IV infusion following a vaginal delivery
Question 2 of 5
A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
Correct Answer: A
Rationale: Oxytocin promotes uterine contractions to prevent postpartum hemorrhage; a firm, contracted fundus indicates effectiveness.
Extract:
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting 'Please give me something for the pain. I can't take the pain.'
Question 3 of 5
An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting 'Please give me something for the pain. I can't take the pain.' What is the priority nursing diagnosis?
Correct Answer: A
Rationale: This addresses the client's inability to manage labor effectively due to a lack of childbirth preparation, as evidenced by her emotional distress.
Extract:
A laboring patient who is not reporting pain
Question 4 of 5
The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
Correct Answer: D
Rationale: A non-verbal cue strongly associated with pain or discomfort.
Extract:
A client has been diagnosed with threatened abortion
Question 5 of 5
The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?
Correct Answer: A
Rationale: Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.