ATI LPN Maternal Newborn

ATI LPN Maternal Newborn Related

Review ATI LPN Maternal Newborn related questions and content

Medical History: Gravida 1 Para 1, 41 weeks of gestation, Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. Vital Signs: Temperature 38.4° C (101.1° F), Blood pressure 118/72 mm Hg, Heart rate 108/min, Respiratory rate 20/min. Breasts: Client reports their breasts are starting to feel firmer and heavier. Denies nipple discomfort. Client is bottle-feeding their newborn. Uterus: Boggy and tender to palpation. Fundus at the umbilicus. Lochia: Moderate amount of dark brown, foul-smelling discharge. Bladder: Client reports frequent voiding without difficulty. Lower extremities: Bilateral edema of lower extremities noted without pain, warmth, or tenderness. Nurses' Notes: Client reports general malaise, chills, and a decreased appetite.

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 evaluate the client's progress. Condition Most Likely: ___ Actions to Take: ___ Parameters to Monitor: ___

  • A. Plan to administer broad-spectrum antibiotic medication, Administer an oxytocic medication, Apply ice packs to the breasts, Encourage the client to increase fluid intake, Initiate anticoagulant therapy
  • B. Engorgement, Endometritis, Deep vein thrombosis, Urinary tract infection
  • C. Temperature, Lochia amount and odor, Bladder distension, Integrity of the nipples, Circumference of lower extremities
Correct Answer:

Rationale: The client has fever (38.4°C/101.1°F), tachycardia (HR 108/min), uterine tenderness, and foul-smelling lochia, all of which indicate postpartum uterine infection (endometritis). Administering broad-spectrum antibiotics treats the infection, and oxytocic medication promotes uterine contraction to reduce bacterial growth. Monitoring temperature and lochia amount/odor evaluates treatment progress.

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Assessment: Fontanels soft, head molded with caput succedaneum, eyes symmetric, sclera yellow, dry mucous membranes, abdomen soft, bowel sounds present. Vital Signs: HR 154/min, RR 44/min, Temp 36.9°C. Diagnostic Results: Coombs positive, Glucose 50 mg/dL. Nurses' Notes: Term newborn, 39 weeks, Apgar 9/9, breastfeeding 3-4 times/day, voided once, no meconium.

Which of the following findings should the nurse report to the RN? Select all that apply.

  • A. Sclera color
  • B. Heart rate
  • C. Respiratory rate
  • D. Glucose level
  • E. Coombs test result
  • F. Head assessment finding
Correct Answer: A,E,G

Rationale: Yellow sclera, positive Coombs test, infrequent voiding/no meconium, and dry mucous membranes suggest jaundice, hemolysis, and dehydration, requiring reporting.

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+.

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: ___

  • A. 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
  • B. Ectopic pregnancy, Placenta Previa, Cervical insufficiency, Chorioamnionitis
  • C. 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.

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.

Which of the following statements by the client indicates an understanding of the teaching?

  • A. I will need to start chemotherapy immediately.
  • B. I will need an amniocentesis within 1 month.
  • C. I will need to attend a support group when I get home.
  • D. I will need home palliative services after I am discharged from the hospital
Correct Answer: C

Rationale: A support group provides emotional support for the loss and concerns associated with a molar pregnancy.

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

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

  • A. Fever
  • B. Diuresis
  • C. Diarrhea
  • D. Sedation
Correct Answer: D

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

A nurse is reinforcing teaching with a client about various contraceptive methods.

Which of the following statements should the nurse include in the teaching?

  • A. Combined estrogen-progestin contraceptive pills cause longer periods.
  • B. You will need to have your diaphragm replaced every 4 years.
  • C. Oral contraceptives decrease the risk for endometrial cancer.
  • D. You will need to receive a medroxyprogesterone acetate injection once per month.
Correct Answer: C

Rationale: Combined oral contraceptives reduce the risk of endometrial cancer by suppressing ovulation and stabilizing hormone levels, preventing endometrial proliferation.

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