ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 36 weeks gestation with painless, bright red vaginal bleeding.
Question 1 of 5
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions?
Correct Answer: B
Rationale: Painless, bright red vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervical os.
Extract:
Client who is pregnant.
Question 2 of 5
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Folic acid supplementation significantly reduces the risk of neural tube defects like spina bifida and anencephaly.
Extract:
Client who is at 38 weeks of gestation with severe preeclampsia.
Question 3 of 5
A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?
Correct Answer: B
Rationale: Severe, persistent headache is a common symptom of severe preeclampsia, often unresponsive to usual treatments, indicating neurological involvement.
Extract:
Client who is at 36 weeks of gestation with suspected placenta previa.
Question 4 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: A
Rationale: Painless, bright red vaginal bleeding is characteristic of placenta previa due to the placenta covering the cervical os.
Extract:
Client who is pregnant with a BMI of 26.5.
Question 5 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), the recommended weight gain is 15-25 pounds per Institute of Medicine guidelines to support maternal and fetal health.