ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client in her first trimester with no immunity to rubella.
Question 1 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.
Extract:
Client reviewing contraception options.
Question 2 of 5
A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives?
Correct Answer: C
Rationale: Blood pressure ≥140/90 mm Hg is a contraindication for combined oral contraceptives due to increased cardiovascular risks.
Extract:
Client in her first trimester with no immunity to rubella.
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: B
Rationale: Administering the MMR vaccine post-delivery avoids risks to the fetus from live vaccines while providing immunity for future pregnancies.
Extract:
Client who is at 38 weeks of gestation with severe preeclampsia.
Question 4 of 5
A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings?
Correct Answer: B
Rationale: Severe, persistent headache is a common symptom of severe preeclampsia, often unresponsive to usual treatments, indicating neurological involvement.
Extract:
Client who is at 6 weeks of gestation and smokes one pack of cigarettes per day.
Question 5 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.