ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.
Question 1 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 risk factors for preeclampsia with a group of clients who are pregnant.
Question 2 of 5
Which of the following risk factors should the nurse include in the teaching?
Correct Answer: A
Rationale: Chronic hypertension is a significant risk factor for preeclampsia. It increases the likelihood of developing this condition, which can lead to complications for both mother and baby.
Extract:
A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level.
Question 3 of 5
Which of the following foods should the nurse recommend the client increase in her diet?
Correct Answer: A
Rationale: Yogurt is an excellent source of calcium, essential for fetal bone development and maternal health during pregnancy.
Extract:
A nurse is preparing to collect a specimen for newborn screening.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Warming the newborn’s heel for 5 to 10 minutes before the puncture helps increase blood flow and ensures a sufficient blood sample for screening tests.
Extract:
History and Physical: 41 weeks of gestation, cesarean birth. Nurses' Notes: Client reports malaise, chills, decreased appetite 3 days postpartum. Vital Signs: Temperature 38.4° C, Heart rate 108/min. Assessment: Boggy uterus, foul-smelling lochia.
Question 5 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer: C, B, C, C, E
Rationale: Condition: Endometritis - infection signs like fever and foul lochia. Actions: Monitor lochia; assist with antibiotics (not anticoagulants, corrected). Parameters: Temperature and heart rate assess infection response.