Maternal Newborn ATI Proctored Exam

ATI LPN · Maternal Newborn ATI Proctored Exam

Question 1 of 98

A client has severe preeclampsia and is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as signs of magnesium sulfate toxicity? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 2 of 98

A client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 3 of 98

A client who received carboprost for postpartum hemorrhage is being assessed by a nurse. Which of the following findings is an adverse effect of this medication?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 4 of 98

A healthcare provider is assessing fetal heart tones for a pregnant client. The provider has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the provider apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 5 of 98

A healthcare professional in a provider's office is reviewing the medical record of a client who is in her first trimester of pregnancy. Which of the following findings should the healthcare professional identify as a risk factor for the development of preeclampsia?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 6 of 98

A client who is at 6 weeks of gestation is being educated about common discomforts of pregnancy. Which of the following findings should the individual include? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 7 of 98

A client at 8 weeks of gestation with iron deficiency anemia is prescribed iron supplements. Which beverage should the nurse reinforce the client to take the supplements with for better absorption?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 8 of 98

A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infections during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 9 of 98

When educating a pregnant client about potential complications, which manifestation should the nurse emphasize reporting to the provider promptly?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 10 of 98

During preterm labor, a client is scheduled for an amniocentesis. The nurse should review which of the following tests to assess fetal lung maturity?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 11 of 98

A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 12 of 98

While assisting with the care of a client in active labor, a nurse observes clear fluid and a loop of pulsating umbilical cord outside the client's vagina. Which of the following actions should the nurse perform first?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 13 of 98

When providing care for a client in preterm labor at 32 weeks of gestation, which medication should the nurse anticipate the provider will prescribe to hasten fetal lung maturity?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 14 of 98

A client who is 2 hours postpartum is in the taking-hold phase. Which intervention should the nurse plan to implement during this phase of postpartum behavioral adjustment?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 15 of 98

During a vaginal exam on a client in labor who reports severe pressure and pain in the lower back, a nurse notes that the fetal head is in a posterior position. Which of the following is the best nonpharmacological intervention for the nurse to perform to relieve the client's discomfort?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 16 of 98

A client in active labor at 39 weeks of gestation is receiving continuous IV oxytocin and has early decelerations in the FHR on the monitor tracing. What action should the nurse take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 17 of 98

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)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 18 of 98

An adolescent is being taught about levonorgestrel contraception by a school nurse. What information should the nurse include in the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 19 of 98

A client is to receive oxytocin to augment labor. Which finding contraindicates the initiation of the oxytocin infusion and should be reported to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 20 of 98

A client in a prenatal clinic is receiving education from a nurse and mentions, 'I don't like milk.' Which of the following foods should the nurse recommend as a good source of calcium?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 21 of 98

A client is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The client is in which of the following phases of labor?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 22 of 98

A client is being educated by a healthcare provider about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 23 of 98

A client at 42 weeks of gestation is having an ultrasound. For which of the following conditions should the nurse prepare for an amnioinfusion? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 24 of 98

A newborn was delivered vaginally and experienced a tight nuchal cord. Which of the following clinical manifestations should the nurse expect to observe?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 25 of 98

During active labor, a nurse notes tachycardia on the external fetal monitor tracing. Which of the following conditions should the nurse identify as a potential cause of the heart rate?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 26 of 98

A healthcare provider is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the provider expect? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 27 of 98

A healthcare professional is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g of magnesium sulfate in 500 mL of dextrose 5% in water (D5W). How many mL/hr should the IV infusion pump be set to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 28 of 98

When caring for a client receiving nifedipine for prevention of preterm labor, the nurse should monitor the client for which of the following manifestations?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 29 of 98

A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which of the following responses should the nurse make?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 30 of 98

A client in active labor reports back pain while being examined by a nurse who finds her to be 8 cm dilated, 100% effaced, -2 station, and in the occiput posterior position. What action should the nurse take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 31 of 98

When discussing intermittent fetal heart monitoring with a newly licensed nurse, which statement should a nurse include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 32 of 98

A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 33 of 98

A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 34 of 98

During a teaching session with a client in labor, a nurse is explaining episiotomy. Which of the following information should the nurse include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 35 of 98

When caring for a client in labor, which of the following infections can be treated during labor or immediately following birth? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 36 of 98

A nurse is caring for a client who is at 40 weeks of gestation and is in early labor. The client has a platelet count of 75,000/mm3 and is requesting pain relief. Which of the following treatment modalities should the nurse anticipate?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 37 of 98

A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 38 of 98

A client in labor requests epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 39 of 98

While caring for a newborn undergoing phototherapy to treat hyperbilirubinemia, which of the following actions should the nurse take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 40 of 98

A healthcare professional is assisting with the care for a client who is experiencing a ruptured ectopic pregnancy. Which of the following findings is expected with this condition?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 41 of 98

A caregiver is learning about newborn safety. Which of the following statements by a parent indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 42 of 98

In a prenatal clinic, a client in the first trimester of pregnancy has a health record that includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 43 of 98

A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing to administer pain medication to a client. The charge nurse should intervene when the newly licensed nurse uses which of the following secondary identifiers to identify the client?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 44 of 98

When caring for clients in a prenatal clinic, a nurse should report which client's weight gain to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 45 of 98

A healthcare professional is assessing four newborns. Which of the following findings should the professional report to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 46 of 98

A full-term newborn is being assessed by a nurse 15 minutes after birth. Which of the following findings requires intervention by the nurse?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 47 of 98

A client is reinforcing discharge teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the client include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 48 of 98

During a nonstress test for a pregnant client, a nurse uses an acoustic vibration device. The client inquires about its purpose. Which response should the nurse provide?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 49 of 98

A client who is at 24 weeks of gestation is scheduled for a 1-hour glucose tolerance test. Which of the following statements should the nurse include in her teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 50 of 98

A newborn was transferred to the nursery 30 min after delivery. What should the nurse do first?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 51 of 98

A healthcare provider in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 52 of 98

A client who is 12 hours postpartum has a fundus located two fingerbreadths above the umbilicus, deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 53 of 98

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?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 54 of 98

When caring for a client suspected of having hyperemesis gravidarum, which finding is a manifestation of this condition?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 55 of 98

A client in a prenatal clinic is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 56 of 98

When teaching a new mother how to use a bulb syringe to suction her newborn's secretions, which of the following instructions should the nurse include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 57 of 98

A healthcare professional is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the professional use to help minimize the pain of the procedure for the newborn?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 58 of 98

A client is in labor, and a nurse observes late decelerations on the electronic fetal monitor. What should the nurse identify as the first action that the registered nurse should take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 59 of 98

When reviewing postpartum nutrition needs with breastfeeding clients, which statement indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 60 of 98

A client who is at 36 weeks of gestation and has a prescription for a nonstress test is being taught by a nurse. Which of the following statements should the nurse include in the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 61 of 98

A client with pregestational type 1 diabetes mellitus is being taught by a nurse about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 62 of 98

A client who is 3 days postpartum is receiving education on effective breastfeeding. Which of the following information should the nurse include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 63 of 98

A client is postpartum and has idiopathic thrombocytopenic purpura (ITP). Which of the following findings should the nurse expect?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 64 of 98

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)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 65 of 98

A client at 32 weeks of gestation with placenta previa is actively bleeding. Which medication should the provider likely prescribe?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 66 of 98

A client who is at 22 weeks of gestation reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 67 of 98

A client who is at 24 weeks of gestation and reports daily mild headaches is being cared for by a nurse. Which of the following instructions should the nurse include in the plan of care?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 68 of 98

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?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 69 of 98

A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, 'I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device.' The nurse should suspect which of the following?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 70 of 98

A parent is receiving discharge teaching from a nurse regarding caring for their newborn after a circumcision. Which instruction should the nurse include?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 71 of 98

During a weekly prenatal visit, a nurse is assessing a client at 38 weeks of gestation. Which of the following findings should the nurse report to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 72 of 98

A client at 40 weeks of gestation is experiencing contractions every 3 to 5 minutes, becoming stronger. A vaginal exam by the registered nurse reveals the client's cervix is 3 cm dilated, 80% effaced, and -1 station. The client requests pain medication. Which of the following actions should the nurse prepare to take? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 73 of 98

A client who is postpartum is receiving discharge teaching from a nurse. For which of the following clinical manifestations should the client be instructed to monitor and report to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 74 of 98

A client who is at 22 weeks gestation is being educated by a nurse about the amniocentesis procedure. Which of the following statements should the nurse make?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 75 of 98

A healthcare provider is discussing the differences between true labor and false labor with a group of expectant parents. Which of the following characteristics should the healthcare provider include when discussing true labor?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 76 of 98

A client who is pregnant states that her last menstrual period was April 1st. What is the client's estimated date of delivery?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 77 of 98

A healthcare provider is assisting with the care for a client who reports manifestations of preterm labor. Which of the following findings are risk factors for this condition? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 78 of 98

A client with hyperemesis gravidarum is receiving dietary teaching. Which of the following statements by the client indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 79 of 98

A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 80 of 98

During an assessment, a client at 26 weeks of gestation presents with which of the following clinical manifestations that should be reported to the provider?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 81 of 98

A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 82 of 98

A client presents with uterine hypotonicity and postpartum hemorrhage. Which action should the nurse prioritize?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 83 of 98

When developing an educational program for adolescents about nutrition during the third trimester of pregnancy, which of the following statements should be included?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 84 of 98

What is the most appropriate statement for a nurse to make to a client who has recently experienced a perinatal death?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 85 of 98

A healthcare provider is assisting with the care for a client who has a prescription for magnesium sulfate. The provider should recognize that which of the following are contraindications for the use of this medication? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 86 of 98

A client in an obstetrical clinic is discussing using an IUD for contraception with a healthcare provider. Which of the following statements by the client indicates an understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 87 of 98

A healthcare professional is providing information to a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the healthcare professional include? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 88 of 98

A client in a family planning clinic requests oral contraceptives. Which of the following findings in the client's history should be recognized as contraindications to oral contraceptives? (Select all that apply.)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 89 of 98

A woman in a women's health clinic is receiving teaching about nutritional intake during her 8th week of gestation. The healthcare provider should advise the woman to increase her daily intake of which of the following nutrients?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 90 of 98

Which of the following medications should the provider prescribe for a client with gonorrhea?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 91 of 98

When a client states, 'My water just broke,' what is the nurse's priority intervention?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 92 of 98

A healthcare provider in an antepartum clinic is collecting data from a client who has a TORCH infection. Which of the following findings should the healthcare provider expect? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 93 of 98

A client in active labor is irritable, reports the urge to have a bowel movement, vomits, and states, 'I've had enough. I can't do this anymore.' Which of the following stages of labor is the client experiencing?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 94 of 98

A client who is at 12 weeks of gestation is reviewing a new prescription of ferrous sulfate. Which of the following statements by the client indicates understanding of the teaching?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 95 of 98

A healthcare professional is assisting with the care of a client who is receiving IV magnesium sulfate. Which of the following medications should the healthcare professional anticipate administering if magnesium sulfate toxicity is suspected?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 96 of 98

A client is being educated by a healthcare provider about potential adverse effects of implantable progestins. Which of the following adverse effects should the healthcare provider include? (Select all that apply)

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 97 of 98

A nurse is teaching clients in a prenatal class about the importance of taking folic acid during pregnancy. The nurse should instruct the clients to consume an adequate amount of folic acid from various sources to prevent which of the following fetal abnormalities?

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ATI LPN · Maternal Newborn ATI Proctored Exam

Question 98 of 98

A healthcare professional is assessing a late preterm newborn. Which of the following clinical manifestations is an indication of hypoglycemia?

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