ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client considering vaginal birth after cesarean (VBAC).
Question 1 of 5
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The type of uterine incision (e.g., low transverse) is critical for VBAC candidacy, as it affects the risk of uterine rupture.
Extract:
Client who is in active labor.
Question 2 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 20 weeks of gestation.
Question 3 of 5
A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Moderate exercise can help improve your circulation and is generally safe during pregnancy, addressing the client's concerns while promoting overall well-being.
Extract:
Client considering vaginal birth after cesarean (VBAC).
Question 4 of 5
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The type of uterine incision (e.g., low transverse) is critical for VBAC candidacy, as it affects the risk of uterine rupture.
Extract:
Client in her first trimester with no immunity to rubella.
Question 5 of 5
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
Correct Answer: B
Rationale: Administering the MMR vaccine post-delivery avoids risks to the fetus from live vaccines while providing immunity for future pregnancies.