ATI LPN
ATI LPN Maternal Newborn Questions
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 1 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.
Extract:
Nurses' Notes: Newborn lightly swaddled, jittery, weak cry, mottled extremities, acrocyanosis, rapid respirations. History: Gravida 2 Para 2, vaginal birth at 41 weeks, maternal syphilis treated, intermittent cannabis use. Vital Signs: Temp 36°C, HR 132/min, RR 72/min, Weight 4,366 g. Diagnostic Results: Maternal blood type A+, RPR/VDRL negative, urine drug screen positive for marijuana.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Condition: ___ Actions: ___ Parameters: ___
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A
Rationale: Jitteriness, weak cry, and large birth weight suggest hypoglycemia. Feeding stabilizes glucose, and capillary blood confirms diagnosis. Monitoring respiratory status and temperature assesses progress.
Extract:
Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.
Question 3 of 5
Which of the following findings should the nurse report to the RN? Select all that apply.
Correct Answer: A,E,G
Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.
Extract:
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A bolus of lactated Ringer's increases intravascular volume, stabilizing blood pressure caused by epidural-induced vasodilation.
Extract:
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: During a nonstress test, the client presses a button when they feel fetal movement to monitor fetal heart rate response, assessing fetal well-being. No fasting, IV medication, or lying flat is required.