ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.
Question 1 of 5
Which of the following adverse effects should the nurse report to the provider?
Correct Answer: A
Rationale: Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.
Extract:
A nurse is reinforcing teaching about perineal care to a client who is 2 hours postpartum and has an episiotomy and hemorrhoids.
Question 2 of 5
Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: D
Rationale: Applying witch hazel pads after urination helps reduce swelling, provides soothing relief, and promotes healing for both hemorrhoids and episiotomy sites. Witch hazel has natural astringent properties that are beneficial for postpartum perineal care.
Extract:
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant.
Question 3 of 5
Which of the following risk factors should the nurse include in the teaching?
Correct Answer: D
Rationale: Chronic hypertension is a well-known risk factor for preeclampsia as it indicates pre-existing cardiovascular issues that can predispose one to developing preeclampsia during pregnancy.
Extract:
A nurse is collecting data from a client who is 18 hr postpartum.
Question 4 of 5
Which of the following findings require the nurse to intervene?
Correct Answer: A
Rationale: Fundus located to the right of the umbilicus requires intervention. This can indicate a full bladder, which can inhibit uterine contraction and increase the risk of postpartum hemorrhage.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg IM to a newborn. The amount available is phytonadione 1 mg/0.5 mL.
Question 5 of 5
How many mL should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.25
Rationale:
Step 1: (0.5 mg ÷ 1 mg) × 0.5 mL = 0.5 × 0.5 mL = 0.25 mL. The nurse should administer 0.25 mL to deliver the prescribed 0.5 mg dose.