ATI LPN
ATI LPN Maternal Newborn 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: A
Rationale: Fetal bradycardia (98/min) indicates distress, requiring immediate intervention due to possible cord prolapse after membrane rupture.
Extract:
A nurse is reinforcing teaching about breastfeeding with a client who is postpartum.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Positioning the baby at breast level with a pillow promotes a comfortable latch and effective feeding.
Extract:
A nurse is collecting data from a client who is at 28 weeks of gestation.
Question 3 of 5
Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
Extract:
A nurse is reinforcing teaching about travel with a client who is pregnant.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Walking every hour during long trips improves circulation and reduces the risk of deep vein thrombosis.
Extract:
Nurses' Notes: Breasts soft, nipples intact, uterus firm at 0700, soft with lateral deviation at 1100, large lochia rubra at 1100, episiotomy site with mild edema/ecchymosis, pain 2-3/10, able to void, DTR 1+, 2+ peripheral edema. Vital Signs: Temp 36.2-37.2°C, HR 80-85/min, RR 16-18/min, BP 136/82-86 mm Hg, O2 sat 99-100%.
Question 5 of 5
Select the findings that require immediate follow-up.
Correct Answer: C,F
Rationale: Large lochia rubra, soft uterus, and lateral deviation suggest postpartum hemorrhage risk, requiring immediate intervention like fundal massage and bladder assessment.