ATI LPN
Maternal Newborn ATI Proctored Exam Questions
Question 1 of 5
A healthcare provider is reinforcing teaching with a client about a new prescription for medroxyprogesterone. Which of the following information should the provider include in the teaching? (Select all that apply)
Correct Answer: D
Rationale: When educating a client about medroxyprogesterone, it is important to include information about potential side effects and recommendations. Weight fluctuations and irregular vaginal spotting are common side effects of medroxyprogesterone. Additionally, increasing calcium intake is often advised to counteract the potential bone density loss associated with this medication. Therefore, all the statements provided are correct, making option D the correct answer. Choices A, B, and C are all essential pieces of information that the healthcare provider should convey to the client regarding medroxyprogesterone.
Question 2 of 5
A healthcare provider is instructing a client who is taking an oral contraceptive about manifestations to report. Which of the following manifestations should the healthcare provider include?
Correct Answer: C
Rationale: Shortness of breath is a symptom that can indicate a serious side effect of oral contraceptives, such as a potential blood clot in the lungs. This condition requires immediate medical attention to prevent complications. Choices A, B, and D are not typically associated with serious side effects of oral contraceptives and are considered normal or common side effects that do not require urgent medical attention.
Question 3 of 5
A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include?
Correct Answer: A
Rationale: During early pregnancy, nausea and vomiting in the morning are common symptoms. Eating crackers or plain toast before getting out of bed can help manage morning nausea by stabilizing blood sugar levels. This simple and easily digestible snack can alleviate symptoms by providing some sustenance to the stomach before fully waking up and moving around. Choices B, C, and D are incorrect. Waking up during the night to eat a snack may disrupt sleep patterns, skipping breakfast can worsen symptoms by allowing the stomach to remain empty for longer periods, and eating a large evening meal may exacerbate morning nausea due to increased stomach contents.
Question 4 of 5
A client who is pregnant is scheduled for a contraction stress test (CST). Which of the following findings are indications for this procedure? (Select all that apply)
Correct Answer: D
Rationale: A contraction stress test (CST) is performed to assess how the fetus responds to the stress of contractions. Indications for this test include decreased fetal movement, intrauterine growth restriction (IUGR), and postmaturity. These conditions may warrant the need for a CST to evaluate fetal well-being and determine appropriate management. Therefore, all of the above options are correct indications for a contraction stress test. Options A, B, and C are incorrect because they are all valid reasons for performing a CST in a pregnant client.
Question 5 of 5
When educating a pregnant client about potential complications, which manifestation should the nurse emphasize reporting to the provider promptly?
Correct Answer: A
Rationale: Vaginal bleeding during pregnancy is a concerning sign that could indicate serious complications like miscarriage or placental issues. Prompt reporting to the healthcare provider is crucial for timely evaluation and management to ensure the best outcomes for both the mother and the baby. Swelling of the ankles (choice B), heartburn after eating (choice C), and lightheadedness when lying on the back (choice D) are common discomforts during pregnancy but are not typically associated with serious complications that require immediate attention.
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