ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 1 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Decreased blood pressure can be an expected manifestation in hyperemesis gravidarum due to dehydration and possible hypovolemia. Pruritus is not a common symptom, and hemoglobin of 18 g/dL is higher than normal, whereas hyperemesis often leads to decreased hemoglobin due to malnutrition.
Extract:
A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation.
Question 2 of 5
Which of the following findings reported by the client should the nurse report to the provider?
Correct Answer: B
Rationale: Abdominal cramping at 26 weeks may indicate preterm labor or other complications, requiring immediate reporting.
Extract:
A nurse on the postpartum unit is caring for a client who delivered vaginally 3 hr ago.
Question 3 of 5
Which of the following manifestations is a possible indication of postpartum hemorrhage?
Correct Answer: C
Rationale: An increased respiratory rate of 32/min can be a sign of hypovolemia due to significant blood loss, a key indicator of postpartum hemorrhage.
Extract:
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Position the newborn's car seat at a 45° angle.' is correct to keep the airway open and prevent slumping.
Extract:
Nurses' Notes: Client at 18 weeks of gestation with nausea and vomiting for weeks, unable to retain fluids for 48 hr. Vital Signs: Heart rate 112/min, BP 92/52 mm Hg. Labs: Hgb 18 g/dL, Potassium 3.2 mEq/L, Ketones positive.
Question 5 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.
Correct Answer:
Rationale: Condition: Hyperemesis gravidarum - severe nausea and dehydration. Actions: IV access for fluids; manage electrolytes. Parameters: Monitor electrolytes and ketones for treatment efficacy.