ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 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: D
Rationale: Fetal heart tones of 98/min indicate bradycardia, a priority sign of fetal distress requiring immediate action.
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 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A bolus of lactated Ringer's increases blood volume, correcting hypotension from epidural anesthesia.
Extract:
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Multiple marker screening identifies neural tube defects, a key prenatal test purpose.
Extract:
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Question 4 of 5
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
Correct Answer: C
Rationale: Ambulation promotes circulation, effectively preventing thrombophlebitis post-cesarean.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 5 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: D
Rationale: Sedation is a common adverse effect of nalbuphine, an opioid analgesic used in labor.