ATI LPN
ATI LPN N105 Maternity Exam Questions
Extract:
Client at 18 weeks of gestation
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 first perception of fetal movement, often felt as fluttering, between 16 to 20 weeks. Lightening occurs later, ballottement is a clinical finding, and chloasma is a skin change.
Extract:
Client who has just learned she is pregnant
Question 2 of 5
A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: B
Rationale: Facial edema, especially if sudden, may indicate preeclampsia and should be reported. Mood swings, decreased energy, and urinary frequency are common and typically not concerning unless severe.
Extract:
Client who thinks she might be pregnant
Question 3 of 5
A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Feeling fetal movement (quickening) is a presumptive sign of pregnancy, as it is subjective and can be mistaken for other sensations. Probable and positive signs are objective, and 'possible' is not a recognized category.
Extract:
Newborn
Question 4 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:
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.