ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a full-term newborn who is 1 day old. Laboratory findings: Glucose 60 mg/dL, WBC 10,000/mm³, Platelets 225,000/mm³, Hgb 9.5 g/dL.
Question 1 of 5
Which of the following laboratory findings should the nurse report to the provider?
Correct Answer: D
Rationale: A hemoglobin level of 9.5 g/dL is low for a 1-day-old newborn (normal range 14-24 g/dL) and may indicate anemia, requiring further evaluation.
Extract:
A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor.
Question 2 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 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 is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: A fundus that is firm but deviated to the left suggests that the bladder may be distended. Emptying the bladder can help the uterus to return to its midline position and promote proper uterine involution. Notifying the provider may be necessary if the problem persists, but the first step is to address the most likely cause of the deviation.
Extract:
A nurse is contributing to the plan of care for a client who is in early labor and reports low-back pain during contractions.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Counterpressure applied to the sacrum is effective for relieving low-back pain during labor contractions.