ATI LPN
ATI PN Maternal Newborn Rn X1 Questions
Extract:
patient, opioid use disorder, methadone, neonatal abstinence syndrome
Question 1 of 5
Your patient presents to labor and delivery with opioid use disorder and is taking methadone. The best treatment for her baby that will develop neonatal abstinence syndrome is:
Correct Answer: C
Rationale: Keeping mother and baby together supports bonding and reduces NAS severity through breastfeeding and non-pharmacological interventions.
Extract:
client, 14 hr postpartum, boggy fundus, large lochia rubra
Question 2 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft, fundus boggy 4 fingerbreadths above the umbilicus and deviated to the right, large lochia rubra, temperature 37.7°C (100°F), pulse rate 88/min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: A
Rationale: Emptying the bladder addresses the deviated fundus and reduces bleeding, the priority in this scenario.
Extract:
client, epidural anesthesia, BP 80/40 mm Hg, fetal heart rate 100 beats/min
Question 3 of 5
A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 100 beats/min. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: A lateral position relieves vena cava compression, improving maternal BP and fetal perfusion, addressing hypotension and fetal bradycardia.
Extract:
client, Hispanic, labor and delivery
Question 4 of 5
A nurse is assisting with the admission of a client who is Hispanic to the labor and delivery unit. Which of the following practices should the nurse anticipate while caring for this client?
Correct Answer: B
Rationale: Hispanic clients may request cold fluids post-delivery to restore body balance, a cultural practice.
Extract:
client, 36 weeks gestation, suspected placenta previa
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Placenta previa typically causes painless, bright red vaginal bleeding due to placental positioning over the cervical os.