ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Question 1 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The chest clip should be at armpit level to ensure proper harness positioning for maximum safety.
Extract:
Medical History: Gravida 1 Para 1, 41 weeks of gestation, Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. Vital Signs: Temperature 38.4° C (101.1° F), Blood pressure 118/72 mm Hg, Heart rate 108/min, Respiratory rate 20/min. Breasts: Client reports their breasts are starting to feel firmer and heavier. Denies nipple discomfort. Client is bottle-feeding their newborn. Uterus: Boggy and tender to palpation. Fundus at the umbilicus. Lochia: Moderate amount of dark brown, foul-smelling discharge. Bladder: Client reports frequent voiding without difficulty. Lower extremities: Bilateral edema of lower extremities noted without pain, warmth, or tenderness. Nurses' Notes: Client reports general malaise, chills, and a decreased appetite.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to evaluate the client's progress. Condition Most Likely: ___ Actions to Take: ___ Parameters to Monitor: ___
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: The client has fever (38.4°C/101.1°F), tachycardia (HR 108/min), uterine tenderness, and foul-smelling lochia, all of which indicate postpartum uterine infection (endometritis). Administering broad-spectrum antibiotics treats the infection, and oxytocic medication promotes uterine contraction to reduce bacterial growth. Monitoring temperature and lochia amount/odor evaluates treatment progress.
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 3 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 is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Frequent contractions (more than every 10 minutes) indicate possible preterm labor, requiring medical evaluation.
Extract:
Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.
Question 5 of 5
Which of the following findings should the nurse report to the RN? Select all that apply.
Correct Answer: A,E,G
Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.