ATI LPN
ATI LPN Maternal Newborn 2023 IV 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: A
Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.
Extract:
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Question 3 of 5
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
Correct Answer: C
Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride, an opioid analgesic that depresses the central nervous system, causing drowsiness.
Extract:
A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Determining the respiratory rate first ensures airway and breathing stability, a critical initial step in managing neonatal abstinence syndrome.
Extract:
Nurses' Notes 0830: The client is a gravida 2 para 1 at 30 weeks of gestation. Reports low back pain and abdominal cramping for the past two days. History includes cesarean birth for breech presentation. Reports smoking half a pack of cigarettes per day. BMI is greater than 30. The client is grimacing and has a positive report of fetal movement. External electronic fetal monitoring applied, showing fetal heart rate of 148/min. The abdomen is soft and nontender to palpation. 0845: Uterine contractions every 2–3 minutes, moderate in strength. Sterile vaginal examination reveals cervix dilated to 2 cm, 80% effaced, and -1 station. Mucous vaginal discharge and a small amount of bright red bleeding noted on the perineal pad. Vital Signs: Temperature: 36.8°C (98.2°F), Heart rate: 98/min, Respiratory rate: 18/min, Blood pressure: 112/68 mm Hg, Oxygen saturation: 98% on room air.
Question 5 of 5
For each finding, click to specify if the client finding is consistent with placenta previa, preterm labor, or abruptio placentae: A. Pain report, B. Uterine contractions, C. Perineal pad findings, D. Cervical dilation.
| Findings | Placenta Previa | Preterm Labour | Abruptio Placentae |
|---|---|---|---|
| Pain report | |||
| Uterine contractions | |||
| Perineal pad findings | |||
| Cervical dilation |
Correct Answer: A,B,C,D
Rationale: Pain and contractions suggest preterm labor/abruptio placentae; bleeding fits all three; dilation aligns with preterm labor/placenta previa.