ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client at her first prenatal visit.
Question 1 of 5
A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Move the steps into the box on the right, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.)
Correct Answer: F,A,E,D,C,B
Rationale: Nausea and vomiting (F) and breast tenderness (
A) occur early, followed by Goodell's sign (E) at ~5 weeks, quickening (
D) at 16-25 weeks, striae gravidarum (
C) in the second half, and lightening (
B) near term.
Extract:
Client who is at 17 weeks of gestation, scheduled for maternal serum alpha-fetoprotein (MSAFP) determination.
Question 2 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 who is pregnant and reports constipation.
Question 3 of 5
A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: Increased fiber (cellulose) and fluid intake promotes regular bowel movements and is safe for managing constipation during pregnancy.
Extract:
Client who is at 34 weeks of gestation and at risk for placental abruption.
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and is at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: B
Rationale: Maternal hypertension, including preeclampsia, is the most common risk factor for placental abruption due to its impact on placental vasculature.
Extract:
Newborn weighs 5,160 g (11 lb, 6 oz), mother has diabetes mellitus.
Question 5 of 5
A nurse is collecting data from a newborn who weighs 5,160 g (11 lb, 6 oz) and whose mother has diabetes mellitus. For which of the following data should the nurse monitor?
Correct Answer: B
Rationale: Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia from maternal hyperglycemia, requiring close monitoring.