ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A healthcare provider in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?
Correct Answer: D
Rationale: The correct answer is D: Neural tube defects. Folic acid is crucial for neural tube development in the fetus. Without sufficient folic acid, neural tube defects like spina bifida can occur. Iron deficiency anemia (
A) is not directly related to folic acid deficiency. Poor bone formation (
B) is more associated with calcium and vitamin D deficiencies. Macrosomic fetus (
C) refers to excessive fetal growth, not a direct consequence of folic acid deficiency. In summary, folic acid deficiency primarily increases the risk of neural tube defects in the fetus or neonate.
Question 2 of 5
A client at 40 weeks of gestation is experiencing contractions every 3 to 5 minutes, becoming stronger. A vaginal exam by the registered nurse reveals the client's cervix is 3 cm dilated, 80% effaced, and -1 station. The client requests pain medication. Which of the following actions should the nurse prepare to take? (Select all that apply)
Correct Answer: C
Rationale: The correct action is to administer opioid analgesic medication (
Choice
C). At 40 weeks gestation with contractions every 3-5 minutes, 3 cm dilated, 80% effaced, and -1 station, the client is in active labor. Pain medication is appropriate to manage discomfort during labor. Opioid analgesics can help reduce pain intensity while still allowing the client to remain alert and participate in labor. Ice chips (
Choice A and
D) are not directly related to pain management in labor. Inserting a urinary catheter (
Choice
B) is not indicated unless there are specific concerns about bladder distention.
Question 3 of 5
While assisting with the care of a client in active labor, a nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: The correct answer is D: Call for assistance. This is the first action the nurse should take in this emergency situation. Calling for help ensures that additional support and resources are available to manage the situation effectively. Placing the client in the Trendelenburg position (
A) is not recommended as it can worsen the prolapsed cord. Applying finger pressure to the presenting part (
B) can lead to further complications. Administering oxygen (
C) may be necessary but is not the priority when a prolapsed cord is present.
Question 4 of 5
A client who is pregnant is scheduled for a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply)
Correct Answer: D
Rationale: The correct answer is D, All of the Above.
1. Decreased fetal movement indicates fetal distress, necessitating CST.
2. IUGR implies potential placental insufficiency, requiring CST evaluation.
3. Postmaturity increases risk of placental insufficiency, warranting CST.
Other choices are incorrect as they do not directly indicate the need for CST in a pregnant client.
Question 5 of 5
In a prenatal clinic, a client in the first trimester of pregnancy has a health record that includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply)
Correct Answer: D
Rationale: The data "G3 T1 P0 A1 L1" indicates the client has had 3 pregnancies (G3), 1 term delivery (T1), 0 preterm deliveries (P0), 1 living child (A1), and 1 living child currently (L1).
Therefore, the correct interpretation is that the client has one living child (A1) from one term delivery (T1).
Choice D ("ALL OF THE ABOVE - has one living child") is correct as it summarizes the information accurately.
Choices A, B, and C are incorrect because they do not encompass all the aspects of the data provided in the client's health record.