ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at risk of neural tube defect in newborn
Question 1 of 5
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid intake (400-800 mcg daily) before and during early pregnancy significantly reduces the risk of neural tube defects like spina bifida. Aspirin, alcohol, and iron are not directly linked to preventing neural tube defects.
Extract:
A client at 36 weeks of gestation undergoing a nonstress test (NST)
Question 2 of 5
A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks 'What are you looking for during this test?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A nonstress test (NST) monitors fetal heart rate (FHR) accelerations. A reactive NST, indicating fetal well-being, shows at least two accelerations of 15 bpm lasting 15 seconds within 20 minutes. Blood draws and ultrasounds are separate procedures, and movement counts are not part of NST criteria.
Extract:
A client at 39 weeks of gestation
Question 3 of 5
A client who is at 39 weeks of gestation tells the nurse, 'It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again.' The nurse should recognize that the client is experiencing the effects of which of the following?
Correct Answer: A
Rationale: Lightening occurs late in pregnancy when the fetus descends into the pelvis, relieving pressure on the diaphragm and making breathing easier.
Extract:
Embryonic stage of fetal development
Question 4 of 5
What occurs in the embryonic stage of fetal development?
Correct Answer: B
Rationale: The embryonic stage (weeks 3-8) includes gender differentiation (around weeks 7-8) as the reproductive structures develop. Implantation and initial differentiation occur earlier, and germ cell maturation happens later.
Extract:
Teaching about amniotic fluid function
Question 5 of 5
A nurse is teaching students about the function of the amniotic fluid. Which of the following statements by the students shows effective teaching? (Select All that Apply.)
Correct Answer: B,D,E
Rationale: Amniotic fluid regulates fetal temperature, cushions/protects the fetus, and allows free movement for symmetric growth. It does not produce hormones, aid digestion, or regulate fetal heart rate.