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 muscles that support the back, reducing backache during pregnancy. It also improves flexibility and posture. A: Avoid any lifting - This is incorrect because avoiding all lifting is not practical or necessary during pregnancy. Some light lifting may be fine with proper form. B: Perform Kegel exercises twice a day - Kegel exercises focus on pelvic floor muscles, not specifically back muscles. While important during pregnancy, they do not directly address backache. D: Avoid standing for prolonged periods - This is a helpful tip to reduce backache, but it is not as effective as performing exercises that specifically target back muscles like the pelvic rock exercise.
Question 2 of 9
A client has severe preeclampsia and is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as signs of magnesium sulfate toxicity? (Select all that apply)
Correct Answer: D
Rationale: The correct answer is D: All of the above. Magnesium sulfate toxicity can lead to respiratory depression (respirations less than 12/min), decreased urinary output (less than 25 mL/hr), and altered mental status (decreased level of consciousness). These are classic signs of magnesium sulfate toxicity due to its effects on the central nervous system and renal function. Reporting these findings promptly is crucial to prevent serious complications such as respiratory arrest and renal failure. Other choices are incorrect as they do not encompass the full spectrum of potential signs of magnesium sulfate toxicity.
Question 3 of 9
When caring for clients in a prenatal clinic, a nurse should report which client's weight gain to the provider?
Correct Answer: B
Rationale: Rationale: Choice B is correct because a 3.6 kg (8 lb) weight gain in the first trimester is excessive and could indicate potential issues like gestational diabetes or preeclampsia. This early excessive weight gain needs immediate provider intervention. Choices A, C, and D are incorrect as they represent normal weight gains expected in each trimester and do not raise immediate concerns.
Question 4 of 9
A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infections during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?
Correct Answer: D
Rationale: The correct answer is D: Clients should avoid consuming undercooked meat while pregnant. This is because undercooked meat may contain harmful bacteria such as Toxoplasma gondii, which can lead to TORCH infections. By avoiding undercooked meat, pregnant individuals can reduce their risk of contracting these infections and protect the fetus. Option A is incorrect because seeking an immunization against rubella early in pregnancy is important, but it does not directly prevent TORCH infections. Option B is incorrect as there is no prophylactic treatment for cytomegalovirus, and detection alone does not prevent the infection. Option C is incorrect as avoiding crowded places is not a specific preventive measure for TORCH infections. In summary, the correct answer D is focused on a direct preventive measure against TORCH infections during pregnancy, while the other choices do not directly address this specific issue.
Question 5 of 9
A client at 32 weeks of gestation with placenta previa is actively bleeding. Which medication should the provider likely prescribe?
Correct Answer: A
Rationale: The correct answer is A: Betamethasone. Betamethasone is a corticosteroid given to pregnant women at risk of preterm delivery to promote fetal lung maturation. In this case, at 32 weeks with active bleeding due to placenta previa, there is a high risk of preterm delivery. Betamethasone helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. B: Indomethacin is a nonsteroidal anti-inflammatory drug used to close a patent ductus arteriosus in preterm infants, not indicated for placenta previa. C: Nifedipine is a calcium channel blocker used in preterm labor to delay delivery, not indicated for placenta previa. D: Methylergonovine is an ergot alkaloid used for postpartum hemorrhage, not indicated in the management of placenta previa-related bleeding.
Question 6 of 9
A client in an obstetrical clinic is discussing using an IUD for contraception with a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because checking the strings of the IUD after periods is a key part of ensuring the device is in place, preventing pregnancy, and monitoring for potential issues. This action indicates understanding of IUD care. Choice A is incorrect because the IUD usually does not need replacement annually. Choice B is incorrect as women can get an IUD even if they haven't had a child. Choice C is incorrect because fertility can return quickly after IUD removal, not necessarily after 5 months.
Question 7 of 9
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: 1. Acknowledges client's feelings: By stating that it is normal to have mixed feelings during early pregnancy, the nurse validates the client's emotions. 2. Provides reassurance: Normalizing the client's emotions can help alleviate anxiety and stress. 3. Encourages open communication: By acknowledging the client's feelings as normal, the nurse promotes an open dialogue for further discussion and support. Summary of Incorrect Choices: A. Involves breaching confidentiality without consent. C. Invalidates the client's feelings and imposes expectations. D. Assumes the client needs counseling without exploring emotions first.
Question 8 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: Rationale for correct answer C: Maternal hypotension in pregnancy is often caused by the weight of the uterus compressing the vena cava, leading to decreased blood return to the heart and subsequent drop in blood pressure. The vena cava is a major vein that returns blood to the heart. When the uterus compresses it, it impairs venous return, leading to hypotension. This physiological change is common in pregnant women due to the growing uterus putting pressure on the vena cava. Summary of why other choices are incorrect: A: Increase in blood volume typically leads to increased blood pressure, not hypotension. B: Pressure from the uterus on the diaphragm may cause discomfort but is not directly related to maternal hypotension. D: Increased cardiac output is not a direct cause of maternal hypotension; in fact, increased cardiac output is a normal adaptation to pregnancy.
Question 9 of 9
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: The correct answer is C: Hydatidiform mole. At 4 months gestation, prune-colored discharge and larger than expected fundal height are concerning for this rare condition. Hydatidiform mole presents with symptoms like persistent nausea, vomiting, and abnormal vaginal bleeding. It is characterized by abnormal placental tissue growth and can lead to complications such as hyperthyroidism, preeclampsia, or even choriocarcinoma. Incorrect choices: A: Hyperemesis gravidarum typically presents with severe nausea, vomiting, and weight loss, which is not seen in this case. B: Threatened abortion usually presents with vaginal bleeding and cramping, not prune-colored discharge. D: Preterm labor presents with regular contractions and cervical changes, not prune-colored discharge or larger than expected fundal height.