ATI LPN Maternal Newborn

Extract:

Medical History: 26-year-old primigravida at 28 weeks, obese, no hypertension or diabetes history, presents with elevated blood pressure, peripheral edema, headaches. Physical Examination: Alert, oriented, 3+ deep tendon reflexes, +2 pitting edema, FHR 140/min with moderate variability. Diagnostic Results: Hgb 10 g/dL, Hct 35%, Platelet count 95,000/mm3, AST 200 units/L, ALT 25 units/L, Total bilirubin 1.8 mg/dL, Urine 2+ protein. Vital Signs: BP 158/100 mm Hg (0900), 162/110 mm Hg (1000), HR 90-95/min, RR 16-20/min, Temp 37°C, O2 sat 96-98%.

Question 1 of 5

The nurse should first address the client's ___ followed by the client's ___

Correct Answer: A

Rationale: Severe hypertension (162/110 mm Hg) risks stroke and eclampsia, requiring immediate antihypertensive treatment, followed by addressing low platelet count (95,000/mmÂ³) indicating HELLP syndrome and bleeding risk.

Extract:

A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.

Question 2 of 5

Which of the following statements should the nurse make?

A. You will not be able to eat or drink anything for 8 hours prior to the test. B. You will receive medication through an IV line to stimulate contractions. C. You will press the provided button when you feel the baby moving during the test. D. You will be required to lie flat on your back for the duration of the test.

Correct Answer: C

Rationale: During a nonstress test, the client presses a button when they feel fetal movement to monitor fetal heart rate response, assessing fetal well-being. No fasting, IV medication, or lying flat is required.

Extract:

A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.

Question 3 of 5

Which of the following statements should the nurse include in the teaching?

A. A group B streptococcus screening will be performed to determine the presence of STIs. B. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1. C. A multiple marker screening will be performed to identify neural tube defects. D. A glucose tolerance test will be performed to predict hyperglycemia in your baby.

Correct Answer: C

Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.

Extract:

A nurse in an obstetric clinic is caring for four clients.

Question 4 of 5

The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

A. A client who has a positive pregnancy test B. A client who smokes one pack of cigarettes per day C. A client who has a history of gallbladder disease D. A client who is nulliparous

Correct Answer: A

Rationale: An IUD is contraindicated in pregnancy due to risks of miscarriage, infection, and preterm labor.

Extract:

Vital Signs: Blood pressure 132/82 mm Hg, Heart rate 82/min, Respiratory rate 16/min, Temperature 37.1°C (98.8°F), Oxygen saturation 98% on room air. Nurses' Notes: Client reports, 'My baby is not moving as much as usual.' Fetal heart rate 142/min with minimal variability, no accelerations noted in 20 min. External fetal monitor applied, uterine contractions every 5 to 7 min lasting 50 to 60 sec, moderate intensity.

Question 5 of 5

Which of the following actions should the nurse take next? Select all that apply.

A. Assist the client to a lateral position B. Increase the rate of maintenance IV fluid. C. Palpate uterine tone to assess for tachysystole D. Initiate oxytocin intravenously. E. Perform a vaginal exam.

Correct Answer: A,B,C

Rationale: Repositioning to a lateral position improves uteroplacental blood flow, increasing IV fluid enhances perfusion, and palpating uterine tone checks for tachysystole, all addressing fetal heart rate deceleration.

ATI LPN Maternal Newborn | Nurselytic

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ATI LPN

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