ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse in an obstetric clinic is caring for four clients.
Question 1 of 5
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
Correct Answer: B
Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Question 2 of 5
Which of the following food options should the nurse recommend as the best source of dietary calcium?
Correct Answer: C
Rationale: Kale is an excellent non-dairy calcium source, providing about 177 mg per cup, ideal for meeting pregnancy calcium needs.
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 3 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Pressing a button when the baby moves during a nonstress test records fetal activity, assessing well-being without inducing contractions.
Extract:
History and Physical: The client reports a history of one previous cesarean section due to breech presentation. She smokes half a pack of cigarettes daily and has a BMI greater than 30. The client denies leakage of amniotic fluid and describes positive fetal movement. Vital Signs: Temperature: 98.6°F (37°C), Pulse: 88 beats/min, Respiratory Rate: 16 breaths/min, Blood Pressure: 128/78 mmHg, Oxygen Saturation: 98% on room air. Nurses' Notes (0830 and 0845): 0830: The client is grimacing and reports discomfort. Fetal heart rate is 148 beats per minute. Fundal height measures 28 cm. 0845: Uterine contractions every 2 to 3 minutes, moderate in intensity, lasting 60 seconds.
Question 4 of 5
The nurse should recommend to first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: Frequent contractions indicate preterm labor risk at 30 weeks; prior cesarean increases uterine rupture risk, both needing prompt attention.
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 5 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: A
Rationale: Urinalysis for ketones is the priority to assess dehydration and nutritional status, critical in managing hyperemesis gravidarum.