ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is caring for a 2-day-old newborn who is undergoing phototherapy for treatment of hyperbilirubinemia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Frequent breastfeeding enhances bilirubin excretion through stooling and supports hydration during phototherapy.
Extract:
Medical History: 24-year-old with type 1 diabetes, gravida 1 para 1, vaginal birth at 37 weeks, newborn 4.1 kg, third-degree laceration. Vital Signs: Temp 37.3°C, BP 128/82 mm Hg, HR 84/min, RR 18/min. Nurses' Notes: Fundus firm, moderate lochia, diaphoretic, clammy, weak, nauseous at 1500. Diagnostic Results: Blood glucose 120 mg/dL at 1300.
Question 2 of 5
The nurse should plan to ___ and ___
Correct Answer: F,E
Rationale: Diaphoresis, weakness, and nausea suggest hypoglycemia in a diabetic client. Checking blood glucose confirms the diagnosis, and drinking soda provides fast-acting carbohydrates for a conscious client.
Extract:
A nurse is reinforcing teaching with a client about various contraceptive methods.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Combined oral contraceptives reduce the risk of endometrial cancer by suppressing ovulation and stabilizing hormone levels, preventing endometrial proliferation.
Extract:
A nurse is collecting data from a client who is at 28 weeks of gestation.
Question 4 of 5
Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
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.
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.