ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
Nurses' Notes Two weeks ago (32 weeks gestation): The client presented for a routine visit and denied vaginal bleeding or fluid leakage. Reports mild insomnia and occasional mild uterine cramping. 1+ nonpitting edema noted in bilateral feet and ankles. Weight recorded as 84 kg (185 lb). Today (0930): The client reports mild epigastric pain for the past three days and occasionally 'seeing spots' in her vision. 2+ nonpitting edema noted bilaterally in feet and ankles, and mild facial edema present. The client states her fingers 'swelled up overnight,' preventing her from wearing rings. Weight has increased to 86 kg (190 lb). Vital Signs: Blood pressure: 160/100 mm Hg, Heart rate: 88/min, Respiratory rate: 18/min, Temperature: 36.9°C (98.4°F), Oxygen saturation: 98% on room air. Diagnostic Results: Hemoglobin: 10 g/dL, Hematocrit: 35.9%, Platelet count: 95,000/mm³, AST: 200 U/L, ALT: 25 U/L, Total bilirubin: 1.8 mg/dL, Urine protein: 2+.
Question 1 of 5
Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: A,D,E,F
Rationale: Low platelets, rapid weight gain, edema, high BP, and proteinuria indicate preeclampsia, requiring immediate reporting.
Extract:
A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.
Question 2 of 5
Which of the following diagnostic results should the nurse address first?
Correct Answer: C
Rationale: An elevated WBC count of 20,000/mm³ suggests infection or inflammation, a priority during labor requiring immediate attention.
Extract:
A nurse is collecting data from a newborn.
Question 3 of 5
The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
Correct Answer: A
Rationale: The image showing toes fanning out when the sole of the foot is stroked demonstrates a positive Babinski reflex, a normal newborn response indicating immature nervous system development.
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.
Extract:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using a breast pump prevents engorgement and maintains milk flow, reducing mastitis risk when returning to work.