ATI LPN
ATI LPN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy.
Question 1 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: A multiple marker screening detects neural tube defects and chromosomal abnormalities, typically performed between 15-20 weeks of gestation.
Extract:
Nurses' Notes (Postpartum Assessment) 1200: The client successfully delivered a viable newborn via vaginal delivery. 1300: The client reports feeling tired and anxious. Assessment reveals the fundus is deviated to the left, boggy, and located 1 cm above the umbilicus. The perineal pad is saturated with lochia rubra, indicating excessive bleeding. The client reports an inability to ambulate to the bathroom due to residual numbness from the labor epidural. Pain is reported as 0 on a scale of 0 to 10. Fundal massage performed during assessment has yielded no improvement in uterine tone. A nurse is caring for a 36-year-old female client in the labor and delivery unit at 39 weeks of gestation admitted for evaluation of postpartum bleeding following a vaginal delivery.
Question 2 of 5
Select the 2 interventions the nurse should perform immediately.
Correct Answer: B,C
Rationale: Inserting a catheter empties the bladder, aiding uterine contraction; methylergonovine stimulates contractions to reduce bleeding from a boggy uterus.
Extract:
A nurse in an obstetric clinic is caring for four clients.
Question 3 of 5
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
Correct Answer: B
Rationale: A positive pregnancy test contraindicates IUD use as it risks harming the fetus and causing complications like miscarriage or infection.
Extract:
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Question 4 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Platelet count assesses bleeding risk, indicating the client understands its purpose in monitoring clotting ability.
Extract:
The nurse should first address the client's blood pressure followed by the client's platelet count.
Question 5 of 5
Which of the following options correctly prioritizes these actions?
Correct Answer: A
Rationale: Blood pressure should be checked first as it indicates immediate hemodynamic status, critical in acute settings, followed by platelet count for bleeding risk.