ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is postpartum and has inverted nipples.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing breast shells in the bra can help draw out inverted nipples by applying gentle pressure, making breastfeeding easier for the newborn.
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse notes maternal exposure to rubella during pregnancy.
Question 2 of 5
After delivery, the nurse should monitor the newborn for which of the following conditions?
Correct Answer: C
Rationale: Deafness is a known congenital defect associated with rubella syndrome from maternal exposure during pregnancy.
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 3 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:
Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
Question 4 of 5
Decreased muscle tone'
Correct Answer: B
Rationale: An exaggerated Moro reflex is a sign of neonatal abstinence syndrome, indicating withdrawal-related irritability.
Extract:
Nurses' Notes: Client at 18 weeks of gestation with nausea and vomiting for weeks, unable to retain fluids for 48 hr. Vital Signs: Heart rate 112/min, BP 92/52 mm Hg. Labs: Hgb 18 g/dL, Potassium 3.2 mEq/L, Ketones positive.
Question 5 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:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.