ATI LPN Maternal Newborn

ATI LPN Maternal Newborn Related

Review ATI LPN Maternal Newborn related questions and content

Nurses' Notes: Newborn lightly swaddled, jittery, weak cry, mottled extremities, acrocyanosis, rapid respirations. History: Gravida 2 Para 2, vaginal birth at 41 weeks, maternal syphilis treated, intermittent cannabis use. Vital Signs: Temp 36°C, HR 132/min, RR 72/min, Weight 4,366 g. Diagnostic Results: Maternal blood type A+, RPR/VDRL negative, urine drug screen positive for marijuana.

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. Collect a urine specimen, Monitor the new born after receiving penicillin IM, Reinforce with the parent to feed the newborn, Anticipate a prescription to obtain a capillary blood, Monitor the new born while receiving phototherapy
  • B. Hypoglycaemia, Kernicterus, Congenital Syphilis, Neonatal abstinence syndrome
  • C. Skin integrity, Bilirubin levels, Respiratory Status, Environmental stimuli, Temperature
Correct Answer: A

Rationale: Jitteriness, weak cry, and large birth weight suggest hypoglycemia. Feeding stabilizes glucose, and capillary blood confirms diagnosis. Monitoring respiratory status and temperature assesses progress.

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A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy.

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

  • A. Round ligament pain
  • B. Perineal discomfort and pressure
  • C. Tingling in the fingers
  • D. Urination urgency and frequency
Correct Answer: D

Rationale: Increased urinary urgency and frequency are common in the first trimester due to hormonal changes and uterine pressure on the bladder.

A nurse is preparing to administer metronidazole 2 g PO. The amount available is 500 mg tablets.

How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer: 4 tablets

Rationale: 2 g = 2000 mg; 2000 mg / 500 mg/tablet = 4 tablets.

A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia.

Which of the following interventions should the nurse recommend including in the plan?

  • A. Reposition the newborn every 2 to 3 hr.
  • B. Give the newborn 30 mL of distilled water after each feeding
  • C. Apply a water-based ointment to the newborn's skin every 4 to 6 hr.
  • D. Monitor the newborn's blood glucose level every 2 hr
Correct Answer: A

Rationale: Repositioning every 2-3 hours ensures all skin areas are exposed to phototherapy light, enhancing bilirubin breakdown.

A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.

Which of the following information should the nurse include?

  • A. We will scan your baby's identification bracelet each time we check on him.
  • B. Your baby will wear an electronic bracelet when he is out of your room.
  • C. We will match the bracelet on your baby with his footprint record each shift
  • D. You should check the identity of individuals who come to remove your baby from the room.
Correct Answer: D

Rationale: Parents should verify the identity of staff to prevent infant abduction, enhancing safety.

A nurse is reinforcing teaching about car seat safety with a parent of a newborn.

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

  • A. I should place my baby in the car seat at a 50 degree angle.
  • B. I will place the retainer clip at the level of my baby's armpits.
  • C. I will place a thick, soft pad behind my baby's back.
  • D. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
Correct Answer: B

Rationale: The chest clip should be at armpit level to ensure proper harness positioning for maximum safety.

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