ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
Vital Signs: Blood pressure 130/70 mm Hg, Temperature 38.6° C (101.5° F), Respiratory rate 18/min, Heart rate 102/min, Oxygen saturation 98% on room air. History and Physical: Delivered at 37 weeks of gestation, Routine prenatal care, Iron-deficiency anemia, Rubella immune, Shellfish and penicillin allergy. Current Diagnosis: Mastitis. Laboratory Test Results: Blood type O+, Creatinine 0.8 mg/dL, WBC count 9,500/mm3. Medication Administration Record: Ibuprofen 800 mg PO every 6 hr PRN pain, Doxycycline 100 mg PO every 12 hr, Ferrous sulfate 325 mg PO twice daily, Folic acid 0.5 mg PO once daily, Bisacodyl 10 mg PO once daily, Rho(D) immune globulin 300 mcg IM x1. A nurse is preparing to assist with the administration of medications to a client who is 72 hr postpartum following a caesarean birth.
Question 1 of 5
Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for ___ because ___
Correct Answer: A
Rationale: Rh (
D) immune globulin is given to Rh-negative clients to prevent Rh sensitization. Since the client is O+ (Rh-positive), there is no risk of Rh incompatibility, making this medication unnecessary.
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 plant-based source of calcium, providing approximately 90 mg per cup, ideal for those avoiding dairy.
Extract:
Nurses' Notes: Client at 38 weeks, reports fluid leaking, suspects ruptured membranes. Mild contractions 20 min apart (0630), 15 min apart (0830). Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability. Vital Signs: Temp 37.1°C, HR 93-95/min, RR 13-15/min, BP 130/76-135/78 mm Hg, O2 sat 99-100%.
Question 3 of 5
After review of the client's electronic medical record (EMR), which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?
| Intervention | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Perform a Nitrazine test: Anticipated | |||
| Check client's temperature every hour: Nonessential | |||
| Check FHR every 30 min: Anticipated | |||
| Ensure the client maintains a supine position while in bed: Contraindicated | |||
| Prepare the client for catheterization: Nonessential | |||
| Encourage frequent ambulation: Anticipated |
Correct Answer: A,C,F
Rationale: Nitrazine test confirms ruptured membranes, FHR monitoring every 30 min ensures fetal well-being, and ambulation supports labor progression. Hourly temperature checks and catheterization are not necessary, and supine position risks hypotensive syndrome.
Extract:
History and Physical: Repeat caesarean birth 3 days ago, mastitis. Vital Signs: BP 130/84 mm Hg, HR 106/min, RR 20/min, Temp 38.94°C. Assessment: WBC 28,000/mm3, Hgb 13 g/dL, Hct 37%, redness/warmth in left breast, cracked nipples, body aches, chills, headache, breast tenderness.
Question 4 of 5
The nurse is collecting data from the client 24 hr later. How should the nurse interpret the findings?
Correct Answer: A,C,D,E
Rationale: Purulent discharge and increased WBC suggest worsening mastitis, while decreased pain and lower temperature indicate improvement. Lochia and hemoglobin are unrelated to mastitis.
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 5 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.