ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse has just received change-of-shift report about four clients who are postpartum.
Question 1 of 5
Which of the following clients should the nurse plan to see first?
Correct Answer: B
Rationale: A client who received magnesium sulfate during labor should be seen first because magnesium sulfate can cause significant side effects like respiratory depression, decreased reflexes, and altered mental status. These effects require close monitoring to prevent severe complications.
Extract:
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.
Question 2 of 5
Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
Correct Answer: A
Rationale: Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
Tobacco use and deep-vein thrombosis are more relevant to hormonal contraceptives, not barrier methods like diaphragms.
Extract:
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.
Extract:
A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Insert the suppository along the posterior vaginal wall is correct. This helps ensure it reaches the area where it is needed for effective treatment. Petroleum jelly should not be used, and the client should be in a supine position, not prone.
Extract:
A nurse in the newborn nursery is caring for an infant who has trisomy 21.
Question 5 of 5
When collecting data, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A single crease in the palm is a common finding in infants with trisomy 21 (Down syndrome). It’s a characteristic physical feature due to the genetic condition.