ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 7 weeks of gestation, reports urinary frequency.
Question 1 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:
Newborn with signs of respiratory distress, jitteriness, and lethargy.
Question 2 of 5
A nurse who is caring for a newborn observes signs of respiratory distress, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Obtaining blood glucose by heel stick is the priority action because the symptoms described could indicate hypoglycemia, especially in a newborn. Prompt assessment and management of blood glucose levels are essential.
Extract:
Newly licensed nurse about depot medroxyprogesterone administration.
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following Instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Depot medroxyprogesterone is administered intramuscularly into the deltoid or gluteal muscle, ensuring effective delivery of the contraceptive.
Extract:
Client who is at 6 weeks of gestation and smokes one pack of cigarettes per day.
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?
Correct Answer: D
Rationale: Maternal smoking restricts fetal oxygen supply and impairs growth, significantly increasing the risk of low birth weight.
Extract:
Client who is in active labor.
Question 5 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.