ATI LPN
ATI LPN Maternal Newborn Exam Questions
Extract:
Client reviewing contraception options.
Question 1 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.
Extract:
Client who is pregnant, taking iron supplements, reports black stools without abdominal pain or cramping.
Question 2 of 5
A nurse is speaking on the phone to a client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?
Correct Answer: A
Rationale: Black stools are an expected side effect of iron supplements due to iron reacting with sulfur in the digestive tract, requiring no immediate intervention.
Extract:
Client who is at 15 weeks of gestation, scheduled for amniocentesis.
Question 3 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:
Client with genital herpes.
Question 4 of 5
A nurse is reinforcing teaching with a client who has genital herpes. Which of the following client statements should the nurse identify as understanding of the teaching?
Correct Answer: C
Rationale: Using condoms during the prodromal phase reduces transmission risk, as the herpes virus can be shed even without visible lesions.
Extract:
Client who is at 17 weeks of gestation, scheduled for maternal serum alpha-fetoprotein (MSAFP) determination.
Question 5 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.