ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is in active labor.
Question 1 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: B
Rationale: Umbilical cord compression causes variable decelerations by transiently reducing blood flow to the fetus, leading to drops in fetal heart rate.
Extract:
Client who is at 18 weeks of gestation, reports light fluttering in her stomach.
Question 2 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 mother’s perception of fetal movements, typically felt as light fluttering between 16-20 weeks of gestation.
Extract:
Client in labor, vaginal examination documented as 3 cm, 30%, and -1.
Question 3 of 5
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
Correct Answer: C
Rationale: The documentation indicates 3 cm dilation, 30% effacement, and the presenting part 1 cm above the ischial spines (-1 station), reflecting early labor progress.
Extract:
Client who is at 7 weeks of gestation, reports urinary frequency.
Question 4 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: A
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and uterine pressure, often improving after 12 weeks unless bladder tone is poor.
Extract:
Client who is at 36 weeks of gestation with suspected placenta previa.
Question 5 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.