ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client in her second trimester with gestational diabetes.
Question 1 of 5
A nurse is reinforcing teaching with a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Reducing exercise to 3 days a week is not recommended, as regular exercise helps control blood sugar levels in gestational diabetes.
Extract:
Client requiring acetaminophen 650 mg PO, available as 325 mg/tablet.
Question 2 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 17 weeks of gestation, scheduled for maternal serum alpha-fetoprotein (MSAFP) determination.
Question 3 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 might have a hydatidiform mole.
Question 4 of 5
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?
Correct Answer: C
Rationale: Excessive uterine enlargement is a hallmark of hydatidiform mole due to abnormal trophoblastic tissue growth, unlike rapidly dropping hCG levels which occur post-treatment.
Extract:
Client who is in active labor.
Question 5 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: B
Rationale: Umbilical cord compression causes variable decelerations by transiently reducing blood flow to the fetus, leading to drops in fetal heart rate.