ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Eat crackers or plain toast before getting out of bed. This recommendation helps alleviate morning sickness by providing a small, easily digestible snack to settle the stomach before getting up. It helps stabilize blood sugar levels and prevent an empty stomach exacerbating nausea. Explanation for why B, C, and D are incorrect: B: Awakening during the night to eat a snack can disrupt sleep patterns and is not necessary for managing morning sickness. C: Skipping breakfast and waiting until lunch may lead to prolonged nausea and low blood sugar levels, worsening symptoms. D: Eating a large evening meal can increase the likelihood of acid reflux and indigestion, making morning sickness worse.
Question 2 of 5
A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Rationale for Correct Answer B: It is normal to have these feelings during the first few months of pregnancy. 1. Acknowledges client's emotions without judgment. 2. Validates the client's experience as common and normal. 3. Provides reassurance and support. 4. Encourages open communication. Summary of Incorrect Choices: A. Not necessary to escalate without client's consent. C. Invalidates client's feelings and imposes expectations. D. Implies assumption of severity and may be seen as intrusive.
Question 3 of 5
A client in a prenatal clinic is receiving education from a nurse and mentions, 'I don't like milk.' Which of the following foods should the nurse recommend as a good source of calcium?
Correct Answer: A
Rationale: The correct answer is A: Dark green leafy vegetables. Dark green leafy vegetables like kale, spinach, and broccoli are excellent sources of calcium. They provide a good alternative to dairy for those who don't like milk. These vegetables are rich in calcium, which is essential for bone health, especially during pregnancy. They also offer other nutrients like vitamin K and magnesium that support calcium absorption. Summary: B: Deep red or orange vegetables - While these vegetables are nutritious, they are not significant sources of calcium. C: White bread and rice - These foods do not provide a significant amount of calcium. D: Meat, poultry, and fish - While these foods are rich in protein and other nutrients, they are not primary sources of calcium.
Question 4 of 5
When caring for clients in a prenatal clinic, a nurse should report which client's weight gain to the provider?
Correct Answer: B
Rationale: The correct answer is B: 3.6 kg (8 lb) weight gain in the first trimester. This amount of weight gain in the first trimester is higher than the recommended range of 1.1-4.5 lbs. It could indicate potential issues such as gestational diabetes or preeclampsia. Choices A, C, and D fall within or closer to the expected weight gain ranges for each trimester, making them less concerning. Reporting excessive weight gain early allows for timely intervention and monitoring.
Question 5 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.