ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a newborn who had a circumcision 4 hr ago. During a diaper change, the nurse notes bright red blood oozing from the incision.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying gentle pressure using a sterile dry gauze pad is the correct action to control bleeding from the circumcision site.
Extract:
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.
Question 2 of 5
Which of the following findings should the nurse monitor the client for as an indication of magnesium sulfate toxicity?
Correct Answer: A
Rationale: A respiratory rate of 10/min indicates magnesium sulfate toxicity, which can cause respiratory depression, requiring close monitoring.
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 3 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:
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:
Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
Question 5 of 5
Decreased muscle tone'
Correct Answer: B
Rationale: An exaggerated Moro reflex is a sign of neonatal abstinence syndrome, indicating withdrawal-related irritability.