ATI LPN
ATI LPN Maternal Newborn 2023 IV 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: D
Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, causing toes to fan out, a normal newborn response.
Extract:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using a breast pump prevents engorgement and maintains milk flow, reducing mastitis risk when returning to work.
Extract:
A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.
Question 3 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:
Nurses' Notes Two weeks ago (32 weeks gestation): The client presented for a routine visit and denied vaginal bleeding or fluid leakage. Reports mild insomnia and occasional mild uterine cramping. 1+ nonpitting edema noted in bilateral feet and ankles. Weight recorded as 84 kg (185 lb). Today (0930): The client reports mild epigastric pain for the past three days and occasionally 'seeing spots' in her vision. 2+ nonpitting edema noted bilaterally in feet and ankles, and mild facial edema present. The client states her fingers 'swelled up overnight,' preventing her from wearing rings. Weight has increased to 86 kg (190 lb). Vital Signs: Blood pressure: 160/100 mm Hg, Heart rate: 88/min, Respiratory rate: 18/min, Temperature: 36.9°C (98.4°F), Oxygen saturation: 98% on room air. Diagnostic Results: Hemoglobin: 10 g/dL, Hematocrit: 35.9%, Platelet count: 95,000/mm³, AST: 200 U/L, ALT: 25 U/L, Total bilirubin: 1.8 mg/dL, Urine protein: 2+.
Question 4 of 5
Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: A,D,E,F
Rationale: Low platelets, rapid weight gain, edema, high BP, and proteinuria indicate preeclampsia, requiring immediate reporting.
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 5 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: A
Rationale: Urinalysis for ketones is the priority to assess dehydration and nutritional status, critical in managing hyperemesis gravidarum.