ATI LPN
ATI LPN Maternal Newborn 2023 Questions
Extract:
A nurse is checking the reflexes of a newborn.
Question 1 of 5
Which of the following actions should the nurse use to elicit the Babinski reflex?
Correct Answer: C
Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, where toes fan and extend, a normal newborn response indicating neurological health.
Extract:
Question 2 of 5
A nurse is transporting a newborn to their parents from the nursery. Which of the following actions should the nurse perform to confirm the newborn's identity?
Correct Answer: D
Rationale: Comparing the identification numbers on the newborn's band with the parent's band is the most reliable method to confirm identity, ensuring the newborn is matched with the correct parent(s) and preventing mix-ups or abduction.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 3 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: Nalbuphine hydrochloride is an opioid analgesic used for pain relief during labor. Sedation is a common adverse effect of opioid medications, including nalbuphine, due to central nervous system depression, leading to drowsiness and decreased consciousness.
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 4 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: C
Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.
Extract:
A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Contractions occurring more frequently than every 10 minutes can be a sign of preterm labor and should prompt the client to seek medical attention, indicating an accurate understanding of preterm labor warning signs.