ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy.
Question 1 of 5
Which of the following findings indicates that the fetus is at risk?
Correct Answer: A
Rationale: This finding indicates fetal distress. Recurrent variable decelerations in the fetal heart rate (FHR) can be a sign of umbilical cord compression, which can compromise fetal oxygenation.
Extract:
Vital Signs: Temperature: 36.6°C (98°F), Heart rate: 112/min, Respiratory rate: 20/min, Blood pressure: 92/52 mm Hg. Diagnostic Results: Hct: 50% (Normal: 37% to 47%), Blood glucose: 110 mg/dL (Normal: 74 to 106 mg/dL), Hgb: 18 g/dL (Normal: 12 to 16 g/dL), Urinalysis: Potassium: 3.2 mEq/L (Normal: 3.5 to 5 mEq/L), Ketones: positive (Normal: none), Protein: negative (Normal: none). Nurses' Notes: Client presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. Client states that they have been unable to retain even clear fluids for the past 48 hours. Client denies pain. Client reports a history of migraines and asthma.
Question 2 of 5
Complete the diagram by selecting 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: C
Rationale: Hyperemesis gravidarum is characterized by severe nausea and vomiting. Actions: Inspect mucous membranes for dehydration; administer antiemetics. Parameters: Monitor electrolyte values and urine ketones.
Extract:
A nurse is caring for a client who inquires about a cervical cap for contraception.
Question 3 of 5
The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?
Correct Answer: C
Rationale: History of toxic shock syndrome (TSS) is a contraindication for the use of a cervical cap because the cap can increase the risk of developing TSS again.
Extract:
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Attending a support group is crucial for emotional support and ensuring that the client has access to resources and information about recovery and future pregnancy planning.
Extract:
A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Ensuring the newborn empties the first breast allows them to receive the nutrient-rich hindmilk, which is crucial for growth.