ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Question 1 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: Parents should verify the identity of anyone taking the baby from the room. This prevents unauthorized individuals from removing the baby, enhancing security and safety.
Extract:
History and Physical: The client reports a history of one previous cesarean section due to breech presentation. She smokes half a pack of cigarettes daily and has a BMI greater than 30. The client denies leakage of amniotic fluid and describes positive fetal movement. Vital Signs: Temperature: 98.6°F (37°C), Pulse: 88 beats/min, Respiratory Rate: 16 breaths/min, Blood Pressure: 128/78 mmHg, Oxygen Saturation: 98% on room air. Nurses' Notes (0830 and 0845): 0830: The client is grimacing and reports discomfort. Fetal heart rate is 148 beats per minute. Fundal height measures 28 cm. 0845: Uterine contractions every 2 to 3 minutes, moderate in intensity, lasting 60 seconds.
Question 2 of 5
The nurse should recommend to first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: Frequent contractions indicate preterm labor risk at 30 weeks; prior cesarean increases uterine rupture risk, both needing prompt attention.
Extract:
A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.
Question 3 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 assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 4 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: C
Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride as it acts on the central nervous system to relieve pain, which can cause drowsiness.
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 5 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.