ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is reinforcing teaching about travel with a client who is pregnant.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Walking every hour during long trips improves circulation and reduces the risk of deep vein thrombosis.
Extract:
Medical History: 24-year-old with type 1 diabetes, gravida 1 para 1, vaginal birth at 37 weeks, newborn 4.1 kg, third-degree laceration. Vital Signs: Temp 37.3°C, BP 128/82 mm Hg, HR 84/min, RR 18/min. Nurses' Notes: Fundus firm, moderate lochia, diaphoretic, clammy, weak, nauseous at 1500. Diagnostic Results: Blood glucose 120 mg/dL at 1300.
Question 2 of 5
The nurse should plan to ___ and ___
Correct Answer: F,E
Rationale: Diaphoresis, weakness, and nausea suggest hypoglycemia in a diabetic client. Checking blood glucose confirms the diagnosis, and drinking soda provides fast-acting carbohydrates for a conscious client.
Extract:
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Warm compresses relieve pain, improve circulation, and promote milk flow, aiding in clearing the infection and reducing engorgement.
Extract:
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Using a breast pump prevents milk stasis, a major risk factor for mastitis, by ensuring regular milk expression when away from the baby.
Extract:
Nurses' Notes: Client at 38 weeks, reports fluid leaking, suspects ruptured membranes. Mild contractions 20 min apart (0630), 15 min apart (0830). Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability. Vital Signs: Temp 37.1°C, HR 93-95/min, RR 13-15/min, BP 130/76-135/78 mm Hg, O2 sat 99-100%.
Question 5 of 5
After review of the client's electronic medical record (EMR), which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Perform a Nitrazine test: Anticipated | |||
| Check client's temperature every hour: Nonessential | |||
| Check FHR every 30 min: Anticipated | |||
| Ensure the client maintains a supine position while in bed: Contraindicated | |||
| Prepare the client for catheterization: Nonessential | |||
| Encourage frequent ambulation: Anticipated |
Correct Answer: A,C,F
Rationale: Nitrazine test confirms ruptured membranes, FHR monitoring every 30 min ensures fetal well-being, and ambulation supports labor progression. Hourly temperature checks and catheterization are not necessary, and supine position risks hypotensive syndrome.