ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Question 1 of 5
Which of the following laboratory tests is the priority to complete?
Correct Answer: A
Rationale: Urinalysis for ketones is the priority to assess dehydration and nutritional status, critical in managing hyperemesis gravidarum.
Extract:
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy.
Question 2 of 5
For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: B
Rationale: Hyporeflexia indicates magnesium sulfate toxicity, a serious adverse effect requiring immediate reporting to prevent respiratory or cardiac issues.
Extract:
A nurse is contributing to the plan of care for a client who is postpartum and has mastitis.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Encouraging the client to continue to breastfeed helps empty the breast, reducing pain and inflammation and promoting healing from mastitis.
Extract:
A nurse is reinforcing discharge instructions about breastfeeding with a client.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.
Extract:
Nurses' Notes: The newborn is lying in a bassinet, lightly swaddled. Jitteriness observed when disturbed, weak cry, mottled extremities, mild acrocyanosis. Respirations rapid but unlabored. No lethargy, no feedings since birth. Vital Signs: Heart rate: 156/min, Respiratory rate: 64/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 96% on room air, Blood glucose level: 30 mg/dL.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify: Condition, Actions to Take, Parameters to Monitor (2 Correct). Condition Choices: A. Hypoglycemia, B. Congenital heart defect, C. Neonatal sepsis, D. Neonatal abstinence syndrome. Actions: A. Obtain a capillary blood glucose reading, B. Feed the newborn immediately with breastmilk or formula, C. Administer IV glucose as prescribed, D. Initiate phototherapy, E. Place under a radiant warmer. Parameters: A. Blood glucose levels, B. Respiratory effort, C. Serum bilirubin levels, D. Skin integrity, E. Oxygen saturation.
Correct Answer: A,A,B,A,B
Rationale: Low glucose (30 mg/dL) and jitteriness indicate hypoglycemia; feeding and glucose checks address it; glucose and respiratory effort monitor progress.