ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse in the newborn nursery is caring for an infant who has trisomy 21.
Question 1 of 5
When collecting data, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A single crease in the palm is a common finding in infants with trisomy 21 (Down syndrome). It’s a characteristic physical feature due to the genetic condition.
Extract:
Nurses' Notes: Newborn is lying in bassinet, lightly swaddled. Jittery with a weak cry when disturbed. Extremities mottled with acrocyanosis. Respirations rapid and unlabored. Vital Signs: Axillary temperature 36° C, Heart rate 132/min, Respiratory rate 72/min, Weight 4,366 g. Maternal history: Urine drug screen positive for marijuana.
Question 2 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Decreased blood pressure can be an expected manifestation in hyperemesis gravidarum due to dehydration and possible hypovolemia. Pruritus is not a common symptom, and hemoglobin of 18 g/dL is higher than normal, whereas hyperemesis often leads to decreased hemoglobin due to malnutrition.
Extract:
History and Physical: 41 weeks of gestation, cesarean birth. Nurses' Notes: Client reports malaise, chills, decreased appetite 3 days postpartum. Vital Signs: Temperature 38.4° C, Heart rate 108/min. Assessment: Boggy uterus, foul-smelling lochia.
Question 4 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer: C, B, C, C, E
Rationale: Condition: Endometritis - infection signs like fever and foul lochia. Actions: Monitor lochia; assist with antibiotics (not anticoagulants, corrected). Parameters: Temperature and heart rate assess infection response.
Extract:
A nurse is caring for a full-term newborn who is 1 day old. Laboratory findings: Glucose 60 mg/dL, WBC 10,000/mm³, Platelets 225,000/mm³, Hgb 9.5 g/dL.
Question 5 of 5
Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: A hemoglobin level of 9.5 g/dL is low for a 1-day-old newborn (normal range 14-24 g/dL) and may indicate anemia, requiring further evaluation.