ATI LPN
ATI PN Maternal Newborn 2023 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: C
Rationale: Recurrent variable decelerations in FHR indicate possible umbilical cord compression, suggesting a risk to the fetus.
Extract:
A nurse is preparing to administer phytonadione to a newborn.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering phytonadione with a 25-gauge needle is appropriate for intramuscular injections in newborns, ensuring proper delivery of Vitamin K to prevent deficiency bleeding.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 3 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,E,A,B,D
Rationale: 1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample. 2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site. 3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test. 4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site. 5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.
Extract:
A nurse is caring for a newborn who had a circumcision 4 hr ago. During a diaper change, the nurse notes bright red blood oozing from the incision.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying gentle pressure using a sterile dry gauze pad is the correct action to control bleeding from the circumcision site.
Extract:
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.
Question 5 of 5
Which of the following findings should the nurse monitor the client for as an indication of magnesium sulfate toxicity?
Correct Answer: A
Rationale: A respiratory rate of 10/min indicates magnesium sulfate toxicity, which can cause respiratory depression, requiring close monitoring.