ATI LPN Maternal Newborn 2023 IV

ATI LPN Maternal Newborn 2023 IV Related

Review ATI LPN Maternal Newborn 2023 IV related questions and content

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.

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.

  • A. Pain report
  • B. Uterine contractions
  • C. Perineal pad findings
  • D. 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.

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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 shift.
  • B. You should check the identity of individuals who come to remove your baby from the room.
  • C. We will match the bracelet on your baby with his footprints each shift.
  • D. Your baby will wear an electronic bracelet when he is out of your room.
Correct Answer: B

Rationale: Parents checking identities of individuals removing the baby enhances security, a key safety measure for newborns.

Nurses' Notes: The client, who is 28 weeks gestation, gravida 4, para 3, reports a history of vaginal bleeding for the past 2 hours. She states, 'I started bleeding a couple of hours ago, but now I am saturating pads with bright red blood. I’m scared something is going to happen to my baby.' Blood is trickling down her legs. She denies abdominal pain. A perineal pad is saturated with bright red vaginal bleeding. Physical Examination Results: Fundal height is 27 cm. No uterine contractions or irritability. Fetal heart rate: 170/min, minimal variability, no decelerations. Diagnostic Results: Urine: Leukocyte esterase positive, Nitrites positive, Red blood cells: 6.

Complete the diagram by dragging from the choices below to specify: Potential Condition, Actions to Take (Select 2), Parameters to Monitor (Select 2). Potential Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Uterine rupture. Actions: A. Administer methotrexate, B. Administer broad-spectrum antibiotics, C. Prepare for an emergency cesarean birth, D. Reinforce bed rest and maintain IV access, E. Encourage ambulation. Parameters: A. Fetal heart rate, B. Maternal oxygen saturation, C. WBC count, D. Urine output, E. Uterine contractions.

  • A. Placenta previa
  • B. Prepare for an emergency cesarean birth
  • C. Reinforce bed rest and maintain IV access
  • D. Fetal heart rate
  • E. Maternal oxygen saturation
Correct Answer: A,C,D,A,B

Rationale: Painless bleeding suggests placenta previa; cesarean and bed rest manage it; fetal heart rate and oxygen saturation monitor stability.

A nurse is reinforcing discharge instructions about breastfeeding with a client.

Which of the following statements should the nurse make?

  • A. You should recognize that your baby sucking on his hands is a hunger cue.
  • B. You should feed your baby six times a day.
  • C. You should feed your baby for 10 minutes on each breast.
  • D. You should wake your baby at least every 6 hours at night for feedings.
Correct Answer: A

Rationale: Recognizing hand-sucking as a hunger cue ensures timely breastfeeding, supporting nutritional needs and feeding success.

A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.

Which of the following instructions should the nurse include?

  • A. You should use a breast pump if you plan to return to work.
  • B. Cover your breasts immediately after feedings.
  • C. Wash your nipples with soap and water daily.
  • D. Wear an underwire bra between feedings.
Correct Answer: A

Rationale: Using a breast pump prevents engorgement and maintains milk flow, reducing mastitis risk when returning to work.

A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago.

Which of the following findings should the nurse report to the provider?

  • A. BP of 132/84 mm Hg.
  • B. Double vision.
  • C. Weight gain of 1 kg (2.2 lb).
  • D. Pedal edema.
Correct Answer: B

Rationale: Double vision can indicate preeclampsia or neurological issues, requiring immediate reporting for further evaluation and management.

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