ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 18 weeks of gestation, reports light fluttering in her stomach.
Question 1 of 5
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
Correct Answer: B
Rationale: Quickening describes the mother’s perception of fetal movements, typically felt as light fluttering between 16-20 weeks of gestation.
Extract:
Client who might have a hydatidiform mole.
Question 2 of 5
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to abnormal trophoblastic tissue growth, unlike rapidly dropping hCG levels which occur post-treatment.
Extract:
Client who is at 6 weeks of gestation and smokes one pack of cigarettes per day.
Question 3 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 at 17 weeks of gestation, scheduled for maternal serum alpha-fetoprotein (MSAFP) determination.
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
Correct Answer: D
Rationale: MSAFP screening detects neural tube defects and certain chromosomal abnormalities by measuring alpha-fetoprotein levels.
Extract:
Client considering vaginal birth after cesarean (VBAC).
Question 5 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.