ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 1 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: D
Rationale: A respiratory rate of 32/min is significantly elevated and can be a compensatory response to hypovolemia from postpartum hemorrhage. This response occurs as the body tries to increase oxygen delivery due to blood loss.
Extract:
A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant.
Question 2 of 5
Which of the following risk factors should the nurse include in the teaching?
Correct Answer: D
Rationale: Chronic hypertension is a well-known risk factor for preeclampsia as it indicates pre-existing cardiovascular issues that can predispose one to developing preeclampsia during pregnancy.
Extract:
A nurse in the newborn nursery is caring for an infant who has trisomy 21.
Question 3 of 5
When collecting data, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A single crease in the palm, known as a simian crease, is a common characteristic seen in infants with trisomy 21 (Down syndrome) due to the unique hand structure associated with this condition.
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 4 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Assisting the client's partner to apply counterpressure to the sacrum can help alleviate the low-back pain associated with early labor by providing direct pressure to the area experiencing discomfort.
Extract:
A nurse is collecting data from a client during their first prenatal visit.
Question 5 of 5
The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?
Correct Answer: C
Rationale: Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.