ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 38 weeks of gestation with severe preeclampsia.
Question 1 of 5
A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?
Correct Answer: B
Rationale: Severe, persistent headache is a common symptom of severe preeclampsia, often unresponsive to usual treatments, indicating neurological involvement.
Extract:
Client who is at 7 weeks of gestation, reports urinary frequency.
Question 2 of 5
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and uterine pressure, often improving after 12 weeks unless bladder tone is poor.
Extract:
Client in labor, vaginal examination documented as 3 cm, 30%, and -1.
Question 3 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: C
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.
Extract:
Client who is at 36 weeks of gestation with suspected placenta previa.
Question 4 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: A
Rationale: Painless, bright red vaginal bleeding is characteristic of placenta previa due to the placenta covering the cervical os.
Extract:
Client who is at 6 weeks of gestation and smokes one pack of cigarettes per day.
Question 5 of 5
A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: Maternal smoking restricts fetal oxygen supply and impairs growth, significantly increasing the risk of low birth weight.