ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 9
A healthcare professional is providing information to a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the healthcare professional include? (Select all that apply)
Correct Answer: C
Rationale: The correct answer is C: Perform the pelvic rock exercise every day. This exercise helps strengthen the core muscles, which can alleviate backache during pregnancy. It also promotes flexibility in the lower back and pelvis. Avoiding any lifting (A) is not a practical measure as some lifting may be necessary in daily activities. Performing Kegel exercises (B) strengthens pelvic floor muscles but does not directly address backache. Avoiding standing for prolonged periods (D) can help reduce backache but is not as effective as specific exercises targeting the back muscles like the pelvic rock exercise.
Question 2 of 9
A client presents with uterine hypotonicity and postpartum hemorrhage. Which action should the nurse prioritize?
Correct Answer: B
Rationale: Rationale: Massaging the client's fundus helps to stimulate uterine contractions and control postpartum hemorrhage caused by uterine hypotonicity. This action helps prevent further blood loss and promotes uterine tone. Checking capillary refill would not directly address the immediate issue of hemorrhage. Inserting a urinary catheter is not a priority in managing postpartum hemorrhage. Preparing for a blood transfusion may be necessary later, but addressing the uterine hypotonicity and hemorrhage is the priority.
Question 3 of 9
A healthcare provider is assessing fetal heart tones for a pregnant client. The provider has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the provider apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?
Correct Answer: C
Rationale: The correct answer is C, left lower quadrant. In the left occipital anterior fetal position, the fetus's back is on the left side of the mother's abdomen. To assess the point of maximum intensity of the fetal heart tones, the ultrasound transducer should be applied to the area closest to the fetal back, which is the left lower quadrant. Applying the transducer in this area allows for optimal detection of the fetal heart sounds. Choices A, B, and D are incorrect as they are not in proximity to the fetal back in the left occipital anterior position, leading to suboptimal detection of fetal heart tones.
Question 4 of 9
A healthcare provider is instructing a client who is taking an oral contraceptive about manifestations to report. Which of the following manifestations should the healthcare provider include?
Correct Answer: C
Rationale: The correct answer is C: Shortness of breath. This is because shortness of breath can indicate a potentially serious side effect like a blood clot, which is a rare but serious complication associated with oral contraceptives. Reduced menstrual flow (A) is a common side effect and not typically a cause for concern. Breast tenderness (B) is a common but generally benign side effect of oral contraceptives. Increased appetite (D) is also a common side effect but not typically a sign of a serious complication. Therefore, the healthcare provider should emphasize the importance of reporting shortness of breath promptly.
Question 5 of 9
A woman in a women's health clinic is receiving teaching about nutritional intake during her 8th week of gestation. The healthcare provider should advise the woman to increase her daily intake of which of the following nutrients?
Correct Answer: C
Rationale: The correct answer is C: Iron. During pregnancy, the body's demand for iron increases to support the growing fetus and placenta. Iron is essential for the production of hemoglobin, which carries oxygen to the baby. Inadequate iron intake can lead to maternal anemia and complications. Calcium is important for bone health, but the focus in the 8th week of gestation should be on iron. Vitamin E is an antioxidant that is important for overall health but not specifically targeted for increased intake in the 8th week of pregnancy. Vitamin D is crucial for calcium absorption and bone health, but iron takes precedence during this stage of pregnancy.
Question 6 of 9
A client in labor requests epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's blood pressure every 5 minutes after the first dose of anesthetic solution. This is crucial as epidural anesthesia can cause hypotension, which can lead to maternal and fetal complications. Monitoring blood pressure every 5 minutes allows for early detection and intervention. A: Positioning the client supine for 30 minutes after the first dose of anesthetic solution can lead to hypotension due to decreased venous return, so this is incorrect. B: Administering dextrose 5% in water is not a standard practice after epidural anesthesia and does not address the risk of hypotension, so this is incorrect. D: Ensuring the client has been NPO for 4 hours before the procedure is important for general anesthesia but not specifically for epidural anesthesia, so this is incorrect.
Question 7 of 9
A client in a prenatal clinic is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: This is due to the weight of the uterus on the vena cava. Maternal hypotension during pregnancy can occur when the growing uterus compresses the vena cava, reducing blood flow back to the heart and causing a drop in blood pressure. This compression can lead to decreased blood flow to the brain and other vital organs, resulting in symptoms of hypotension. The other choices are incorrect because: A: An increase in blood volume during pregnancy typically leads to an increase in blood pressure, not hypotension. B: Pressure from the uterus on the diaphragm may cause discomfort or shortness of breath but is not the primary cause of maternal hypotension. D: Increased cardiac output is a normal adaptation in pregnancy to meet the demands of the growing fetus and placenta, but it does not directly cause maternal hypotension.
Question 8 of 9
A client is being educated by a healthcare provider about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will likely need to use alternative positions for sexual intercourse." At 10 weeks of gestation, the uterus begins to enlarge, potentially causing discomfort in the missionary position. This statement shows an understanding of the physical changes in pregnancy. A is incorrect because the recommended weight gain for a client with normal BMI is 25-35 pounds during pregnancy, not less than 15-20 pounds. C is incorrect as breast size typically increases during pregnancy due to hormonal changes, regardless of prior breast reduction surgery. D is incorrect because stretch marks are common during pregnancy, regardless of skin complexion.
Question 9 of 9
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.