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 Two weeks ago (32 weeks gestation): The client presented for a routine visit and denied vaginal bleeding or fluid leakage. Reports mild insomnia and occasional mild uterine cramping. 1+ nonpitting edema noted in bilateral feet and ankles. Weight recorded as 84 kg (185 lb). Today (0930): The client reports mild epigastric pain for the past three days and occasionally 'seeing spots' in her vision. 2+ nonpitting edema noted bilaterally in feet and ankles, and mild facial edema present. The client states her fingers 'swelled up overnight,' preventing her from wearing rings. Weight has increased to 86 kg (190 lb). Vital Signs: Blood pressure: 160/100 mm Hg, Heart rate: 88/min, Respiratory rate: 18/min, Temperature: 36.9°C (98.4°F), Oxygen saturation: 98% on room air. Diagnostic Results: Hemoglobin: 10 g/dL, Hematocrit: 35.9%, Platelet count: 95,000/mm³, AST: 200 U/L, ALT: 25 U/L, Total bilirubin: 1.8 mg/dL, Urine protein: 2+.

Which of the following findings should the nurse report to the primary health care provider?

  • A. Platelet count
  • B. Hematocrit value
  • C. Nonstress test result
  • D. Weight gain
  • E. Edema
  • F. Blood pressure
  • G. BUN
Correct Answer: A,D,E,F

Rationale: Low platelets, rapid weight gain, edema, high BP, and proteinuria indicate preeclampsia, requiring immediate reporting.

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A nurse is assisting with the admission of a client who has hyperemesis gravidarum.

Which of the following laboratory tests is the priority to complete?

  • A. Urinalysis for ketones.
  • B. Serum bilirubin.
  • C. Liver enzymes.
  • D. Complete blood count.
Correct Answer: A

Rationale: Urinalysis for ketones is the priority to assess dehydration and nutritional status, critical in managing hyperemesis gravidarum.

A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.

Which of the following conditions should the nurse include as a risk factor?

  • A. Oligohydramnios.
  • B. Breech presentation.
  • C. Retained placental fragments.
  • D. Urinary tract infection.
Correct Answer: C

Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.

A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.

Which of the following diagnostic results should the nurse address first?

  • A. Hematocrit 32% (normal range: 32% to 47%).
  • B. Hemoglobin 10 g/dL (normal range: 11 to 16 g/dL).
  • C. WBC 20,000/mm³ (normal range: 5,000 to 15,000/mm³).
  • D. Maternal blood type O negative.
Correct Answer: C

Rationale: An elevated WBC count of 20,000/mm³ suggests infection or inflammation, a priority during labor requiring immediate attention.

A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.

In which of the following positions should the nurse instruct the client to place their newborn in the crib?

  • A. Supine.
  • B. Left lateral.
  • C. Right lateral.
  • D. Prone.
Correct Answer: A

Rationale: Placing a newborn in the supine position (on their back) is recommended to reduce the risk of sudden infant death syndrome (SIDS), a proven safe sleep practice.

A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.

Which of the following instructions should the nurse include?

  • A. Recommend the client avoid wearing a nursing bra until symptoms resolve.
  • B. Suggest the client apply warm compresses to the affected breast.
  • C. Encourage the client to limit oral fluid intake to decrease milk production.
  • D. Tell the client to apply hydrocortisone ointment to the affected area.
Correct Answer: B

Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.

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