ATI LPN
ATI PN Maternal Newborn 2023 II 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 is the priority because magnesium sulfate can cause serious side effects such as respiratory depression or hypotension, requiring close monitoring postpartum.
Extract:
A nurse is caring for a client who is postpartum and has inverted nipples.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing breast shells in the client's bra helps to draw out inverted nipples by applying gentle pressure, making breastfeeding easier. They also protect the nipples from friction and irritation.
Extract:
A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron.
Question 3 of 5
Which of the following foods should the nurse recommend as the best source of iron?
Correct Answer: B
Rationale: Chicken breast is an excellent source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Consuming chicken breast helps in meeting the increased iron requirements during pregnancy.
Extract:
A nurse is reinforcing teaching about crib safety with a group of prenatal clients.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: A well-fitting mattress reduces gaps between the mattress and crib sides, preventing entrapment, which helps reduce the risk of suffocation and injury.
Extract:
Vital Signs: Heart rate: 132/min, Axillary temperature: 36° C (96.8° F), Respiratory rate: 72/min, Weight: 4,366 g (9 lb 10 oz). History and Physical: The newborn was delivered via spontaneous vaginal birth at 41 weeks of gestation. The mother is gravida 2 para 2 with a history of syphilis in the first trimester, treated with penicillin, and no reoccurrence during the pregnancy. The mother also reports intermittent cannabis use during pregnancy. Diagnostic Results: Blood type: A+, Venereal Disease Research Laboratory (VDRL): negative, Rapid Plasma Reagin (RPR): negative, Urine drug screen: Positive for marijuana, negative for opiates, cocaine, amphetamines, or barbiturates. Nurses' Notes: The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
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 assess the client's progress.
Correct Answer:
Rationale: Hypoglycemia is most likely given the newborn's jitteriness, weak cry, and mottled extremities. Actions: Feed the newborn to increase blood sugar; monitor phototherapy for jaundice. Parameters: Assess skin integrity; monitor bilirubin levels.