ATI LPN
ATI LPN Maternal Newborn Questions
Extract:
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Methadone is the standard treatment for opioid use disorder in pregnancy because it stabilizes opioid levels, preventing withdrawal symptoms and reducing cravings, minimizing risks of fetal distress, miscarriage, and preterm labor.
Extract:
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: D
Rationale: Parents should verify the identity of staff to prevent infant abduction, enhancing safety.
Extract:
A nurse is collecting data from a client who is at 28 weeks of gestation.
Question 3 of 5
Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A fundal height of 24 cm at 28 weeks is lower than expected, suggesting intrauterine growth restriction, requiring further evaluation.
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: C
Rationale: Platelet count assesses clotting function, identifying bleeding risk in conditions like gestational thrombocytopenia.
Extract:
Vital Signs: Blood pressure 130/70 mm Hg, Temperature 38.6° C (101.5° F), Respiratory rate 18/min, Heart rate 102/min, Oxygen saturation 98% on room air. History and Physical: Delivered at 37 weeks of gestation, Routine prenatal care, Iron-deficiency anemia, Rubella immune, Shellfish and penicillin allergy. Current Diagnosis: Mastitis. Laboratory Test Results: Blood type O+, Creatinine 0.8 mg/dL, WBC count 9,500/mm3. Medication Administration Record: Ibuprofen 800 mg PO every 6 hr PRN pain, Doxycycline 100 mg PO every 12 hr, Ferrous sulfate 325 mg PO twice daily, Folic acid 0.5 mg PO once daily, Bisacodyl 10 mg PO once daily, Rho(D) immune globulin 300 mcg IM x1. A nurse is preparing to assist with the administration of medications to a client who is 72 hr postpartum following a caesarean birth.
Question 5 of 5
Which of the following medications requires clarification prior to administration? The nurse should clarify the prescription for ___ because ___
Correct Answer: A
Rationale: Rh (
D) immune globulin is given to Rh-negative clients to prevent Rh sensitization. Since the client is O+ (Rh-positive), there is no risk of Rh incompatibility, making this medication unnecessary.