ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client who is pregnant with a BMI of 26.5.
Question 1 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?
Correct Answer: C
Rationale: For a BMI of 26.5 (overweight), the recommended weight gain is 15-25 pounds per Institute of Medicine guidelines to support maternal and fetal health.
Extract:
Client considering vaginal birth after cesarean (VBAC).
Question 2 of 5
A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The type of uterine incision (e.g., low transverse) is critical for VBAC candidacy, as it affects the risk of uterine rupture.
Extract:
Newborn weighs 5,160 g (11 lb, 6 oz), mother has diabetes mellitus.
Question 3 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 with gestational diabetes, blood glucose 48 mg/dL, feeling shaky, sweaty, blurred vision.
Question 4 of 5
A nurse is caring for a client who has gestational diabetes and reports feeling shaky, sweaty, and having blurred vision. The client's blood glucose level is 48 mg/dL. Which of the following foods should the nurse give to the client? (Select all that apply)
Correct Answer: A,B,E
Rationale: Regular soda, hard candies, and honey provide rapidly absorbed simple sugars to correct hypoglycemia effectively.
Extract:
Client reviewing contraception options.
Question 5 of 5
A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives?
Correct Answer: C
Rationale: Blood pressure ≥140/90 mm Hg is a contraindication for combined oral contraceptives due to increased cardiovascular risks.