ATI LPN
ATI PN Maternal Newborn 2023 II 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: C
Rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.
Extract:
A nurse is collecting data from a client during their first prenatal visit.
Question 2 of 5
The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?
Correct Answer: C
Rationale: Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.
Extract:
Question 3 of 5
Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
Correct Answer: C
Rationale: This statement is correct because an exaggerated Moro reflex is a common sign of NAS, indicating central nervous system hyperactivity in response to withdrawal from maternal drugs.
Extract:
A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.
Question 4 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 on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 5 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: D
Rationale: A respiratory rate of 32/min is significantly elevated and can be a compensatory response to hypovolemia from postpartum hemorrhage. This response occurs as the body tries to increase oxygen delivery due to blood loss.