ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio.
Question 1 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale: The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.
Extract:
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Positioning the newborn's car seat at a 45° angle helps to maintain an open airway and reduces the risk of the baby's head falling forward, which can obstruct breathing.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 3 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: E,A,C,D,B
Rationale: 1. Wrap a warm, moist cloth around the heel. 2. Cleanse the heel with an antiseptic. 3. Puncture the heel and collect the blood. 4. Apply pressure with a dry gauze pad. 5. Cover the heel with an adhesive bandage.
Extract:
A nurse is collecting data from a newborn who was delivered at 40 weeks of gestation.
Question 4 of 5
Which of the following is an expected finding when eliciting reflexes from the newborn?
Correct Answer: C
Rationale: The palmar grasp reflex, where the newborn's fingers curl around the nurse's finger, is an expected and normal finding in newborns, indicating healthy neurological function.
Extract:
A nurse is assisting with the care of a client who is in active labor. The fetal monitor tracing shows late decelerations.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.