ATI LPN
ATI LPN N105 Maternity Exam Questions
Extract:
Female client scheduled for pelvic examination
Question 1 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.
Extract:
None
Question 2 of 5
A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Hyperemesis gravidarum can lead to psychological issues like depression due to its impact on quality of life. Mild nausea is expected, but hyperemesis is severe, and prevention is not possible.
Extract:
Client in first trimester with no rubella immunity
Question 3 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: C
Rationale: The MMR vaccine, a live vaccine, is contraindicated during pregnancy. It should be given post-delivery, ideally when no future pregnancies are planned, to ensure immunity before conception.
Extract:
Client and reproductive partner
Question 4 of 5
A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:
Correct Answer: C
Rationale: Offering genetic testing to both partners is the correct response as it enables the identification of hereditary risks and provides information about the likelihood of passing on genetic disorders to their children. Testing only one partner is insufficient, and testing can be done preconception.
Extract:
Client at 10 weeks of gestation
Question 5 of 5
A nurse is assisting in the care of a client at 10 weeks of gestation who asks how the biological sex of the fetus is determined. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Biological sex is determined at fertilization by the combination of sex chromosomes (XX or XY). Implantation, foramen ovale, and blastocyst formation do not determine sex.