ATI LPN Maternal Newborn | Nurselytic

Questions 51

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ATI LPN Maternal Newborn 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: C

Rationale: Multiple marker screening detects neural tube defects like spina bifida, performed between 15-20 weeks.

Extract:

A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.


Question 2 of 5

Which of the following manifestations should the nurse identify as an adverse effect of this medication?

Correct Answer: D

Rationale: Sedation is a common adverse effect of nalbuphine, an opioid analgesic, causing drowsiness or reduced alertness.

Extract:

A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.


Question 3 of 5

Which of the following actions should the nurse encourage the client to take?

Correct Answer: B

Rationale: Eating dry, bland foods like crackers in the morning stabilizes blood sugar and reduces nausea.

Extract:

A nurse is checking the reflexes of a newborn.


Question 4 of 5

Which of the following actions should the nurse use to elicit the Babinski reflex?

Correct Answer: A

Rationale: The Babinski reflex is elicited by stroking the lateral sole of the foot, causing dorsiflexion of the big toe and fanning of other toes in newborns.

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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