ATI LPN
ATI LPN Maternal Newborn 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: A
Rationale: The Babinski reflex is elicited by stroking the lateral sole of the foot, causing dorsiflexion of the big toe and fanning of other toes in newborns.
Extract:
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A support group provides emotional support for the loss and concerns associated with a molar pregnancy.
Extract:
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy.
Question 3 of 5
For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: Hyporeflexia is an early sign of magnesium toxicity, indicating excessive neuromuscular blockade, requiring immediate reporting.
Extract:
A nurse is collecting data from a client who is at 28 weeks of gestation.
Question 4 of 5
Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
Extract:
Medical History: Gravida 1 Para 1, 41 weeks of gestation, Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. Vital Signs: Temperature 38.4° C (101.1° F), Blood pressure 118/72 mm Hg, Heart rate 108/min, Respiratory rate 20/min. Breasts: Client reports their breasts are starting to feel firmer and heavier. Denies nipple discomfort. Client is bottle-feeding their newborn. Uterus: Boggy and tender to palpation. Fundus at the umbilicus. Lochia: Moderate amount of dark brown, foul-smelling discharge. Bladder: Client reports frequent voiding without difficulty. Lower extremities: Bilateral edema of lower extremities noted without pain, warmth, or tenderness. Nurses' Notes: Client reports general malaise, chills, and a decreased appetite.
Question 5 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 evaluate the client's progress. Condition Most Likely: ___ Actions to Take: ___ Parameters to Monitor: ___
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: The client has fever (38.4°C/101.1°F), tachycardia (HR 108/min), uterine tenderness, and foul-smelling lochia, all of which indicate postpartum uterine infection (endometritis). Administering broad-spectrum antibiotics treats the infection, and oxytocic medication promotes uterine contraction to reduce bacterial growth. Monitoring temperature and lochia amount/odor evaluates treatment progress.