ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation.
Question 1 of 5
Which of the following medications should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Methotrexate is used to treat an unruptured ectopic pregnancy by dissolving the ectopic tissue, allowing it to be reabsorbed by the body.
Extract:
A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn.
Question 2 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:
A nurse is preparing to collect a specimen for newborn screening.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Warming the newborn’s heel for 5 to 10 minutes before the puncture helps increase blood flow and ensures a sufficient blood sample for screening tests.
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 4 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.
Extract:
A nurse is obtaining a capillary blood sample from a newborn for phenylketonuria testing.
Question 5 of 5
Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: C,E,A,B,D
Rationale: 1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample. 2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site. 3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test. 4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site. 5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.