ATI LPN
ATI PN Maternal Newborn 2023 Questions
Extract:
A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: I may develop discoloration on my cheeks from hormonal changes.' is correct. This refers to melasma, a common physiological change due to hormonal fluctuations during pregnancy.
Extract:
A nurse is caring for a client who is at 12 weeks of gestation and has hyperemesis gravidarum.
Question 2 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:
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 3 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 caring for a client who is at 39 weeks of gestation and is in active labor. The nurse notes maternal exposure to rubella during pregnancy.
Question 4 of 5
After delivery, the nurse should monitor the newborn for which of the following conditions?
Correct Answer: C
Rationale: Deafness is a known congenital defect associated with rubella syndrome from maternal exposure during pregnancy.
Extract:
A nurse is reinforcing teaching with a mother who is bottle feeding her newborn with formula.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: Prepared formula can be stored in the refrigerator for up to 2 days.' is correct, though typically it’s 24 hours; this aligns with safe storage guidelines.