ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is postpartum.
Question 1 of 5
A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: B
Rationale: Administering Rho(
D) immune globulin prevents Rh isoimmunization in Rh-negative mothers with Rh-positive newborns.
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 7 weeks of gestation, reports urinary frequency.
Question 3 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, physical examination shows lungs clear, gravid abdomen, fundal height 37 cm, facial edema, 3+ edema in lower extremities, mild anxiety, patellar reflex 3+, clonus negative, fetal heart rate 172/min, BP 143/85.
Question 4 of 5
A nurse is assisting in the care of a client who is 36 weeks of gestations and reported to the clinic for a routine visit. Which of the following findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A,D,E,F
Rationale: Blood pressure (143/85) may indicate gestational hypertension, especially with edema. Cerebral manifestations (e.g., headache) could suggest preeclampsia. Patellar reflex 3+ may indicate hyperreflexia, a preeclampsia sign. Fetal heart rate (172/min) suggests tachycardia, requiring further evaluation.
Extract:
Client who is at 15 weeks of gestation, scheduled for amniocentesis.
Question 5 of 5
A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply)
Correct Answer: A,C,D
Rationale: Amniocentesis detects chromosome defects, fetal gender, and neural tube defects through amniotic fluid analysis, but not Rh incompatibility or cephalopelvic disproportion.