ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 34 weeks of gestation and at risk for placental abruption.
Question 1 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:
Client who is at 6 weeks of gestation and smokes one pack of cigarettes per day.
Question 2 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 with inflamed labia, frothy yellow-green malodorous discharge.
Question 3 of 5
A nurse in an obstetrical/gynecology office is assisting with the care of a client. Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider? (Select all that apply)
Correct Answer: A,B,D
Rationale: Metronidazole treats trichomoniasis, requiring alcohol avoidance to prevent interactions, a single 2 g dose, and partner treatment to prevent reinfection.
Extract:
Client requiring acetaminophen 650 mg PO, available as 325 mg/tablet.
Question 4 of 5
A nurse is preparing to administer acetaminophen 650 mg PO to a client. The amount available is acetaminophen 325 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: B
Rationale: Dividing the desired dose (650 mg) by the available dose (325 mg/tablet) gives 650 ÷ 325 = 2 tablets.
Extract:
Client who is at 36 weeks of gestation, physical examination shows lungs clear, gravid abdomen, fundal height 37 cm, facial edema, 3+ edema in lower extremities, mild anxiety, patellar reflex 3+, clonus negative, fetal heart rate 172/min, BP 143/85.
Question 5 of 5
A nurse is assisting in the care of a client who is 36 weeks of gestations and reported to the clinic for a routine visit. Which of the following findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A,D,E,F
Rationale: Blood pressure (143/85) may indicate gestational hypertension, especially with edema. Cerebral manifestations (e.g., headache) could suggest preeclampsia. Patellar reflex 3+ may indicate hyperreflexia, a preeclampsia sign. Fetal heart rate (172/min) suggests tachycardia, requiring further evaluation.