ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 1 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.
Extract:
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Question 2 of 5
Which of the following food options should the nurse recommend as the best source of dietary calcium?
Correct Answer: B
Rationale: Kale is a rich non-dairy calcium source, ideal for a pregnant client avoiding dairy.
Extract:
A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago.
Question 3 of 5
Select the findings that require immediate follow-up.
Correct Answer: D,G
Rationale: Large lochia rubra, soft uterine tone, and lateral deviation indicate potential hemorrhage or uterine issues needing urgent attention.
Extract:
A nurse is assisting with the care of a newborn who was born at 39 weeks of gestation and is 36 hours old in the neonatal unit. Exhibits: Vital Signs, Physical Examination Results, Nurses Notes, Diagnostic Results, etc.
Question 4 of 5
Which of the following findings should the nurse report to the RN? Select all that apply.
Correct Answer: E,F
Rationale: Respiratory rate (44/min) and heart rate (154/min) are on the higher end of normal, warranting reporting to monitor for distress.
Extract:
A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago in the maternity ward. Exhibits: Vital Signs, Nurses' Notes
Question 5 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: F,G
Rationale: Large lochia rubra, soft uterine tone, and lateral deviation suggest hemorrhage risks, needing immediate follow-up.