ATI LPN
PN ATI Capstone Maternal Newborn Questions
Question 1 of 5
A nurse is caring for a client who is 8 hours postpartum following a vaginal birth. The client reports passing large clots and heavy bleeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Heavy bleeding and the passage of large clots after childbirth can indicate uterine atony. The nurse should first attempt to massage the fundus to stimulate uterine contractions and control the bleeding.
Question 2 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR on the external fetal monitor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The first action should be to change the client's position, as this can relieve pressure on the umbilical cord and improve fetal oxygenation, addressing the cause of late decelerations.
Question 3 of 5
A nurse is caring for a client who is 36 weeks pregnant and reports leaking fluid. Which of the following tests should the nurse use to confirm that the client�€™s membranes have ruptured?
Correct Answer: C
Rationale: The fern test is used to confirm rupture of membranes. A sample of vaginal fluid is examined under a microscope, and the presence of a fern-like pattern indicates the presence of amniotic fluid.
Question 4 of 5
A nurse is teaching the parent of a newborn about car seat safety. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The car seat should remain rear-facing until at least 2 years old to ensure maximum safety in the event of a collision. This position helps protect the infant's head, neck, and spine.
Question 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns. Other signs may include irritability, poor feeding, and lethargy.
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