ATI LPN
ATI LPN N105 Maternity Exam Questions
Extract:
Client at 12 weeks of gestation
Question 1 of 5
A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, 'What is a normal fetal heart rate?' Which of the following ranges should the nurse provide?
Correct Answer: A
Rationale: The normal fetal heart rate at 12 weeks is 110 to 160/min. Lower or higher ranges may indicate bradycardia or tachycardia, requiring further evaluation.
Extract:
None
Question 2 of 5
A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Heart rate increases by 10 to 15 beats per minute to meet increased oxygen demands. Blood pressure typically decreases, blood viscosity decreases due to hemodilution, and cardiac workload increases.
Extract:
Newborn
Question 3 of 5
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
Correct Answer: A
Rationale: The umbilical cord typically contains two arteries that carry deoxygenated blood from the fetus to the placenta and one vein that carries oxygenated blood from the placenta to the fetus. Two veins or one artery are not typical, and single umbilical artery is an abnormality.
Extract:
Client at 28 weeks of gestation with history of one elective abortion at 9 weeks, birth of twins at 36 weeks, and spontaneous abortion at 15 weeks
Question 4 of 5
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?
Correct Answer: D
Rationale: Parity is the number of pregnancies carried to at least 20 weeks. Only the twin birth at 36 weeks counts, so parity is 1. Twins count as one event, and abortions before 20 weeks do not contribute to parity.
Extract:
Female client scheduled for pelvic examination
Question 5 of 5
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, 'I'm really nervous because I've never had a pelvic exam before.' Which of the following is an appropriate therapeutic response by the nurse?
Correct Answer: C
Rationale: Encouraging the client to share more about her concerns is therapeutic, allowing the nurse to address anxiety and educate her. Offering to stay is supportive but less direct, and the other options are dismissive or minimize feelings.