ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 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 2 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 3 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 4 of 5
A client at 8 weeks of gestation with iron deficiency anemia is prescribed iron supplements. Which beverage should the nurse reinforce the client to take the supplements with for better absorption?
Correct Answer: D
Rationale: The correct answer is D: Orange juice. Vitamin C enhances iron absorption by converting non-heme iron to a more absorbable form. The acidity in orange juice aids in this process. Ice water (choice A) does not contain any nutrients to enhance iron absorption. Low-fat or whole milk (choice B) contains calcium, which can inhibit iron absorption. Tea or coffee (choice C) contains tannins that can also inhibit iron absorption. In summary, orange juice is the best choice due to its vitamin C content that helps improve iron absorption.
Question 5 of 5
When reviewing postpartum nutrition needs with breastfeeding clients, which statement indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates an understanding of the importance of calcium intake for breastfeeding mothers. Calcium is essential for both the mother's health and the baby's bone development. Continuing calcium supplements shows a commitment to meeting nutritional needs. Incorrect choices: A: Having coffee is fine, but it's not directly related to postpartum nutrition needs. B: Folic acid is important for pregnancy but not specifically for increasing milk supply. C: While additional calories are needed during breastfeeding, the specific amount varies and is not always 330 calories per day.