ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse in a prenatal clinic is collecting data from four clients.
Question 1 of 5
Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: D
Rationale: Dysuria, or painful urination, may indicate a urinary tract infection or another serious condition that requires prompt medical attention to prevent complications.
Extract:
Nurses' Notes: Newborn is lying in bassinet, lightly swaddled. Jittery with a weak cry when disturbed. Extremities mottled with acrocyanosis. Respirations rapid and unlabored. Vital Signs: Axillary temperature 36° C, Heart rate 132/min, Respiratory rate 72/min, Weight 4,366 g. Maternal history: Urine drug screen positive for marijuana.
Question 2 of 5
Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.
Extract:
Nurses' Notes: Client at 38 weeks of gestation presents with fluid leaking from vagina. Mild contractions 20 min apart at 0630, 15 min apart at 0830. Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability.
Question 3 of 5
After review of the client's EMR, which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
Correct Answer: A, D, E, G; B, F; C
Rationale: A: Anticipated - helps labor progress; B: Non-essential - no indication for catheterization; C: Contraindicated - risks supine hypotensive syndrome; D, E, G: Anticipated - monitor fetal well-being and confirm membrane rupture.
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 4 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: C
Rationale: An increased respiratory rate of 32/min can be a sign of hypovolemia due to significant blood loss, a key indicator of postpartum hemorrhage.
Extract:
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation.
Question 5 of 5
Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Methotrexate is used to treat an unruptured ectopic pregnancy by dissolving the ectopic tissue, allowing it to be reabsorbed by the body.