ATI LPN Maternal Newborn | Nurselytic

Questions 51

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ATI LPN Maternal Newborn Questions

Extract:

A nurse is reinforcing discharge instructions about breastfeeding with a client.


Question 1 of 5

Which of the following statements should the nurse make?

Correct Answer: C

Rationale: Sucking on hands is an early hunger cue, aiding effective feeding by recognizing the baby's needs.

Extract:

Medical History: 26-year-old primigravida at 28 weeks, obese, no hypertension or diabetes history, presents with elevated blood pressure, peripheral edema, headaches. Physical Examination: Alert, oriented, 3+ deep tendon reflexes, +2 pitting edema, FHR 140/min with moderate variability. Diagnostic Results: Hgb 10 g/dL, Hct 35%, Platelet count 95,000/mm3, AST 200 units/L, ALT 25 units/L, Total bilirubin 1.8 mg/dL, Urine 2+ protein. Vital Signs: BP 158/100 mm Hg (0900), 162/110 mm Hg (1000), HR 90-95/min, RR 16-20/min, Temp 37°C, O2 sat 96-98%.


Question 2 of 5

The nurse should first address the client's ___ followed by the client's ___

Correct Answer: A

Rationale: Severe hypertension (162/110 mm Hg) risks stroke and eclampsia, requiring immediate antihypertensive treatment, followed by addressing low platelet count (95,000/mm³) indicating HELLP syndrome and bleeding risk.

Extract:

A nurse is contributing to the plan of care for a client who is postpartum and has mastitis.


Question 3 of 5

Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: Continued breastfeeding prevents milk stasis and reduces the risk of abscess formation in mastitis.

Extract:

A nurse is reinforcing teaching about car seat safety with a parent of a newborn.


Question 4 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:

Nurses' Notes: Client at 28 weeks, gravida 4, para 3, vaginal bleeding for 2 hr, saturating pads with bright red blood, no abdominal pain. Abdomen soft, nontender, fundal height 27 cm, FHR 170/min with minimal variability. Vital Signs: Temp 36.6°C, HR 120/min, RR 22/min, BP 86/48 mm Hg, O2 sat 96%. Diagnostic Results: Hct 25%, Hgb 9 g/dL, Platelet 110,000/mm3, WBC 12,000/mm3, Blood type B+.


Question 5 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 assess the client's progress. Condition: ___ Actions: ___ Parameters: ___

Action to Take

Monitor administration of ampicillin 2g IV bolus
Reinforce with the client to maintain bed rest
Administer methotrexate
Insert a large bore peripheral IV cathete
Assist the client with positioning for a vaginal examination

Potential Condition

Ectopic pregnancy
Placenta Previa
Cervical insufficiency
Chorioamnionitis

Parameter to Monitor

Cervical dilatation
Vaginal bleeding
Fetal wellbeing
WBC count
Beta human chorionic gonadotropin levels

Correct Answer: A

Rationale: Painless, bright red bleeding at 28 weeks suggests placenta previa. Bed rest minimizes bleeding risk, and IV access prepares for fluid resuscitation. Monitoring bleeding and fetal well-being assesses stability.

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