ATI LPN
ATI LPN N105 Maternity Exam Questions
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, birth of twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 1 of 5
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?
Correct Answer: D
Rationale: Parity is the number of pregnancies carried to at least 20 weeks. Only the twin birth at 36 weeks counts, so parity is 1. Twins count as one event, and abortions before 20 weeks do not contribute to parity.
Extract:
Client at 17 weeks of gestation
Question 2 of 5
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
Correct Answer: D
Rationale: MSAFP screens for neural tube defects like spina bifida and chromosomal abnormalities. It does not screen for gestational diabetes, fetal maturity, or ABO incompatibility.
Extract:
Client who thinks she might be pregnant
Question 3 of 5
A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Feeling fetal movement (quickening) is a presumptive sign of pregnancy, as it is subjective and can be mistaken for other sensations. Probable and positive signs are objective, and 'possible' is not a recognized category.
Extract:
Client who has just learned she is pregnant
Question 4 of 5
A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: B
Rationale: Facial edema, especially if sudden, may indicate preeclampsia and should be reported. Mood swings, decreased energy, and urinary frequency are common and typically not concerning unless severe.
Extract:
Client who is pregnant
Question 5 of 5
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: D
Rationale: Urinary urgency is a common first-trimester symptom caused by hormonal changes and increased pelvic blood flow. Constipation, heartburn, and supine hypotension typically occur later in pregnancy due to uterine growth and hormonal effects.