ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.
Question 1 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.
Extract:
Nurses' Notes: Client at 18 weeks of gestation with nausea and vomiting for weeks, unable to retain fluids for 48 hr. Vital Signs: Heart rate 112/min, BP 92/52 mm Hg. Labs: Hgb 18 g/dL, Potassium 3.2 mEq/L, Ketones positive.
Question 2 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:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.
Extract:
A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Prepared formula can be stored in the refrigerator for up to 2 days.' is correct, though typically it’s 24 hours; this aligns with safe storage guidelines.
Extract:
A nurse is caring for a client who inquires about a cervical cap for contraception.
Question 4 of 5
Which of the following manifestations is a contraindication for the use of a cervical cap?
Correct Answer: D
Rationale: A history of toxic shock syndrome (TSS) is a contraindication for using a cervical cap due to the increased risk of infection associated with barrier methods.
Extract:
A nurse is preparing to administer phytonadione to a newborn.
Question 5 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.