ATI LPN
PN ATI Maternal Newborn 2020 Questions
Extract:
Client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid.
Question 1 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: D
Rationale: A fetal heart rate of 98/min indicates bradycardia, a critical sign of fetal distress requiring immediate attention.
Extract:
Client who has gestational hypertension.
Question 2 of 5
A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Recording missed specimens ensures the accuracy of the 24-hr urine protein collection.
Extract:
Client who is requesting a prescription for a transdermal contraceptive patch.
Question 3 of 5
A nurse is in a provider’s office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?
Correct Answer: B
Rationale: Weight over 90 kg reduces the efficacy of transdermal contraceptive patches, making it a contraindication.
Extract:
Client who is at 12 weeks of gestation.
Question 4 of 5
A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?
Correct Answer: C
Rationale: At 12 weeks, the uterus is low in the pelvis, so fetal heart tones are best heard in the suprapubic area.
Extract:
Newborn who is large for gestational age.
Question 5 of 5
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: B,C
Rationale: Breastfeeding stabilizes glucose levels, and checking blood glucose is critical due to the risk of hypoglycemia in large-for-gestational-age newborns.