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:
Vital Signs (0900): Temperature: 37° C (98.6° F), Heart rate: 90/min, Blood pressure: 158/100 mm Hg, Respiratory rate: 16/min. (1000): Oxygen saturation: 98% on room air, Heart rate: 95/min, Temperature: 37° C (98.6° F), Blood pressure: 162/110 mm Hg, Respiratory rate: 20/min. Diagnostic Results: Hct: 35% (33 to 47%), Hgb: 10 g/dL (11 to 16 g/dL), Urine: 2+ protein, Platelet count: 95,000/mm³ (150,000 to 400,000/mm³), Aspartate aminotransferase (AST): 200 units/L (0 to 35 units/L), Alanine aminotransferase (ALT): 25 units/L (4 to 36 units/L), Total bilirubin: 1.8 mg/dL (0.3 to 1 mg/dL). Medical History: The client is a 26-year-old primigravida at 28 weeks of gestation. She is obese and has no history of hypertension or diabetes mellitus. She presents with elevated blood pressure, peripheral edema, and headaches. Physical Examination Results: The client is alert and oriented to person, place, and time. Her heart rate is regular, and respirations are even and non-labored. She has 3+ deep tendon reflexes and +2 pitting edema of the bilateral lower extremities. The fetal heart rate (FHR) is 140/min with moderate variability.
Question 2 of 5
Complete the following sentence by using the lists of options. The nurse should first address the client's ___ followed by the client's ___ and ___
Correct Answer: B
Rationale: The nurse should first address the client's blood pressure followed by the client's headache and liver enzymes. High blood pressure indicates preeclampsia, requiring immediate intervention. Headache and elevated liver enzymes (AST 200 units/L) suggest severe preeclampsia complications.
Extract:
A nurse is reinforcing teaching about crib safety with a group of prenatal clients.
Question 3 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: A well-fitting mattress reduces gaps between the mattress and crib sides, preventing entrapment, which helps reduce the risk of suffocation and injury.
Extract:
A nurse is assisting with the care of a client who has a prescription for magnesium sulfate.
Question 4 of 5
Which of the following adverse effects should the nurse report to the provider?
Correct Answer: A
Rationale: Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.
Extract:
A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm.
Question 5 of 5
Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
Correct Answer: C
Rationale: Recurrent urinary tract infections are a contraindication for diaphragm use. The diaphragm can increase the risk of urinary tract infections due to its placement and the need for spermicide, which can disrupt the natural flora of the vagina.