ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering Rh(
D) immune globulin within 72 hours prevents Rh sensitization in Rh-negative mothers, crucial for future pregnancies.
Extract:
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Platelet count assesses bleeding risk, indicating the client understands its purpose in monitoring clotting ability.
Extract:
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Question 3 of 5
Which of the following conditions should the nurse include as a risk factor?
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.
Extract:
Nurses' Notes (Postpartum Assessment) 1200: The client successfully delivered a viable newborn via vaginal delivery. 1300: The client reports feeling tired and anxious. Assessment reveals the fundus is deviated to the left, boggy, and located 1 cm above the umbilicus. The perineal pad is saturated with lochia rubra, indicating excessive bleeding. The client reports an inability to ambulate to the bathroom due to residual numbness from the labor epidural. Pain is reported as 0 on a scale of 0 to 10. Fundal massage performed during assessment has yielded no improvement in uterine tone. A nurse is caring for a 36-year-old female client in the labor and delivery unit at 39 weeks of gestation admitted for evaluation of postpartum bleeding following a vaginal delivery.
Question 4 of 5
Select the 2 interventions the nurse should perform immediately.
Correct Answer: B,C
Rationale: Inserting a catheter empties the bladder, aiding uterine contraction; methylergonovine stimulates contractions to reduce bleeding from a boggy uterus.
Extract:
Vital Signs 0830: Temperature: 36.9°C (98.4°F), Heart rate: 89/min, Respiratory rate: 16/min, Blood pressure: 110/60 mm Hg, Oxygen saturation: 97% on room air. 0930: Temperature: 38.2°C (100.8°F), Heart rate: 90/min, Respiratory rate: 20/min, Blood pressure: 120/68 mm Hg, Oxygen saturation: 98% on room air. A nurse is caring for a 27-year-old female client at 32 weeks gestation in the labor and delivery unit admitted for evaluation of a suspected infection during labor.
Question 5 of 5
For each potential provider prescription, click to specify whether the prescription is anticipated or contraindicated for the client: A. Betamethasone 12 mg IM now and repeat in 24 hr, B. Position the client supine, C. Terbutaline 0.25 mg Subcutaneous now, D. Collect a urine sample.
| Prescription | Anticipated | Contraindicated |
|---|---|---|
| Betamethasone 12 mg IM now and repeat in 24 hr (Anticipated) | ||
| Position the client supine (Contraindicated) | ||
| Terbutaline 0.25 mg Subcutaneous now (Anticipated) | ||
| Collect a urine sample (Anticipated) |
Correct Answer: A,C,D
Rationale: Betamethasone aids fetal lung maturity, terbutaline delays preterm labor, and urine sample assesses infection; supine position risks uterine perfusion.