ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: A fundus that is firm but deviated to the left suggests that the bladder may be distended. Emptying the bladder can help the uterus to return to its midline position and promote proper uterine involution. Notifying the provider may be necessary if the problem persists, but the first step is to address the most likely cause of the deviation.
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 2 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:
A nurse has just received change-of-shift report about four clients who are postpartum.
Question 3 of 5
Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: A client who received magnesium sulfate during labor should be seen first because magnesium sulfate can cause significant side effects like respiratory depression, decreased reflexes, and altered mental status. These effects require close monitoring to prevent severe complications.
Extract:
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.
Question 4 of 5
Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
Correct Answer: A
Rationale: Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
Tobacco use and deep-vein thrombosis are more relevant to hormonal contraceptives, not barrier methods like diaphragms.
Extract:
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.