ATI LPN
ATI LPN N105 Maternity Exam Questions
Extract:
Client at 10 weeks of gestation
Question 1 of 5
A nurse is assisting in the care of a client at 10 weeks of gestation who asks how the biological sex of the fetus is determined. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Biological sex is determined at fertilization by the combination of sex chromosomes (XX or XY). Implantation, foramen ovale, and blastocyst formation do not determine sex.
Extract:
None
Question 2 of 5
Which maternal hormone reduces uterine contractions to prevent spontaneous abortions?
Correct Answer: D
Rationale: Progesterone inhibits uterine contractions, maintaining pregnancy and preventing spontaneous abortion. Estrogen, testosterone, and aldosterone have other roles.
Extract:
Client at 8 weeks of gestation
Question 3 of 5
A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Increased blood plasma volume and elevated clotting factors during pregnancy contribute to a hypercoagulable state, increasing thrombosis risk. Procoagulant factors increase, not decrease, and natural anticoagulants decrease. Platelet counts may slightly decrease due to hemodilution.
Extract:
Client at 18 weeks of gestation
Question 4 of 5
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
Correct Answer: B
Rationale: Quickening describes the first perception of fetal movement, often felt as fluttering, between 16 to 20 weeks. Lightening occurs later, ballottement is a clinical finding, and chloasma is a skin change.
Extract:
Client at 7 weeks of gestation
Question 5 of 5
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and typically decreases by the second trimester, returning in the third due to uterine pressure. Decreasing fluid intake is not advised, and poor bladder tone is not a primary cause.