ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is at 15 weeks of gestation, scheduled for amniocentesis.
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply)
Correct Answer: A,C,D
Rationale: Amniocentesis detects chromosome defects, fetal gender, and neural tube defects through amniotic fluid analysis, but not Rh incompatibility or cephalopelvic disproportion.
Extract:
Newborn weighs 5,160 g (11 lb, 6 oz), mother has diabetes mellitus.
Question 2 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.
Extract:
Client who is at 36 weeks of gestation with suspected placenta previa.
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: A
Rationale: Painless, bright red vaginal bleeding is characteristic of placenta previa due to the placenta covering the cervical os.
Extract:
Client who is pregnant with iron-deficiency anemia, prescribed ferrous sulfate.
Question 4 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?
Correct Answer: C
Rationale: Orange juice contains vitamin C, which enhances iron absorption, improving the effectiveness of ferrous sulfate.
Extract:
Client who is postpartum.
Question 5 of 5
A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
Correct Answer: B
Rationale: Administering Rho(
D) immune globulin prevents Rh isoimmunization in Rh-negative mothers with Rh-positive newborns.