ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
Question 1 of 5
Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
Correct Answer: C
Rationale: This statement is correct because an exaggerated Moro reflex is a common sign of NAS, indicating central nervous system hyperactivity in response to withdrawal from maternal drugs.
Extract:
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Attending a support group is crucial for emotional support and ensuring that the client has access to resources and information about recovery and future pregnancy planning.
Extract:
A nurse is reinforcing teaching about breastfeeding with the mother of a newborn.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.
Extract:
Vital Signs: Heart rate: 80/min (January 8), Temperature: 36°C (96.8°F) (January 8), Respiratory rate: 12/min (January 8), Pulse oximetry: 99% (January 8), Blood pressure: 132/82 mm Hg (January 8), Heart rate: 90/min (February 8), Temperature: 36°C (96.8°F) (February 8), Respiratory rate: 16/min (February 8), Pulse oximetry: 99% (February 8), Blood pressure: 140/88 mm Hg (February 8). History and Physical: The client is a 24-year-old gravida 2 para 1 who is at 21 weeks of gestation. The client has a history of obesity and hypertension. She is 62 inches tall and weighs 93 kg (205 lb), with a BMI of 37.5. Her prepregnancy weight was 90.7 kg (200 lb) and BMI was 36.6. Scheduled return visit for follow-up in 4 weeks. Provider Prescriptions: Nifedipine 30 mg PO once daily.
Question 4 of 5
Complete the following sentence by using the lists of options. The nurse should prepare to reinforce teaching with the client about a ___ with a prescription of ___
Correct Answer: A
Rationale: The nurse should prepare to reinforce teaching with the client about a low-sodium diet with a prescription of nifedipine. Hypertension management requires dietary sodium reduction and nifedipine.
Extract:
A nurse is reinforcing teaching with a client who tested positive for group B streptococcus β-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Testing for GBS at around 36 weeks of gestation is standard practice to identify carriers and prevent neonatal GBS infections through intrapartum antibiotic prophylaxis if necessary.