ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid.
Question 1 of 5
Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones at 98/min are significantly lower than the normal range (110-160/min), indicating fetal distress and requiring immediate intervention.
Extract:
The nurse is collecting data from the client 24 hr later.
Question 2 of 5
How should the nurse interpret the findings?
Correct Answer: C
Rationale: A temperature of 38.4°C (101°F) suggests a potential infection or inflammatory process, indicating a worsening condition.
Extract:
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Giving a bolus of lactated Ringer's solution can help increase the client's blood pressure by expanding the intravascular volume, a common intervention for hypotension caused by epidural anesthesia.
Extract:
A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.
Question 4 of 5
In which of the following positions should the nurse instruct the client to place their newborn in the crib?
Correct Answer: A
Rationale: Placing a newborn in the supine position (on their back) is recommended to reduce the risk of sudden infant death syndrome (SIDS), a proven safe sleep practice.
Extract:
A nurse is collecting data from a newborn.
Question 5 of 5
The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
Correct Answer: A
Rationale: The image showing toes fanning out when the sole of the foot is stroked demonstrates a positive Babinski reflex, a normal newborn response indicating immature nervous system development.