Question

A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

Answer 1

Correct Answers:

Abruptio placentae.

Rationale :

🟢 Abruptio placentae involves premature separation of the placenta from the uterine wall.

🟢 Presents with continuous abdominal pain and often vaginal bleeding in late pregnancy.

🟢 Associated with firm, tender uterus and possible fetal distress.

🟢 Risk factors include hypertension, trauma, and substance abuse.

🟢 This is a serious complication requiring immediate evaluation.

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Answer 2

Correct Answers:

Quickening occurs between the fourth and fifth months of pregnancy.

Rationale :

🔵 Quickening is the mother’s first perception of fetal movement, usually felt between 16–20 weeks (4th–5th month).

🔵 Earlier or later detection may depend on maternal experience and body habitus.

🔵 Helps confirm pregnancy progress and fetal well-being.

🔵 Not related to implantation or last trimester.

🔵 It is an important milestone in prenatal care.

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Answer 3

Correct Answers:

Visual disturbances.
Blood pressure.
Deep tendon reflexes.

Rationale :

🟣 Visual disturbances (blurred vision, headache) are signs of possible preeclampsia.

🟣 Elevated blood pressure indicates hypertension, a preeclampsia warning.

🟣 Hyperreflexia (3+ DTRs) may signal worsening preeclampsia or risk of seizure.

🟣 These findings require prompt provider notification.

🟣 Swelling and proteinuria may also be present.

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Answer 4

Correct Answers:

“I can consume 200 mg of caffeine daily.”

Rationale :

🟣 The recommended maximum caffeine intake in pregnancy is 200 mg per day.

🟣 Higher caffeine consumption is linked to an increased risk of miscarriage and low birth weight.

🟣 Educating clients about safe limits helps promote healthy fetal development.

🟣 Common sources of caffeine include coffee, tea, chocolate, and soft drinks, so clients should add up all sources.

🟣 This teaching point empowers clients to make safe nutrition choices during pregnancy.

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Answer 5

Correct Answers:

“Before I can help you with that question, I need to know more about your sexual activity.” .

Rationale :

🟠 Open-ended, non-judgmental questions gather important information for personalized care.

🟠 Understanding the adolescent’s knowledge and behavior ensures safe, appropriate recommendations.

🟠 Avoids assumptions or shaming language.

🟠 Builds trust and rapport for honest discussion.

🟠 Supports individualized patient education.

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Answer 6

Correct Answers:

Condition: Pelvic inflammatory disease, Finding: Elevated white blood cell count.

Rationale :

🟡 PID is common in young women with pelvic pain and elevated WBCs.

🟡 Untreated, it can cause infertility and chronic pain.

🟡 Symptoms often include fever, vaginal discharge, and tenderness.

🟡 Early diagnosis and antibiotics reduce complications.

🟡 Accurate history and labs guide management.

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Answer 7

Correct Answers:

Placenta previa.

Rationale :

🔵 Placenta previa presents with painless, bright red vaginal bleeding in the third trimester.

🔵 The uterus is typically soft and non-tender.

🔵 There is a risk of significant maternal and fetal blood loss.

🔵 Digital or pelvic exams are contraindicated until previa is ruled out.

🔵 Often requires hospitalization and possible cesarean birth.

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Answer 8

Correct Answers:

An external fetal monitor will be used to monitor the fetus.

Rationale :

🟢 NST uses external monitoring to assess fetal heart rate patterns in response to fetal movement.

🟢 It is noninvasive and does not require IVs or nipple stimulation.

🟢 Provides reassurance of fetal well-being.

🟢 Used commonly in the third trimester for high-risk pregnancies.

🟢 Involves no pain or significant risk to mother or baby.

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Answer 9

Correct Answers:

Perform daily fetal movement counts.

Rationale :

🟣 Counting fetal movements is vital for monitoring fetal well-being in preeclampsia.

🟣 Early detection of decreased movement may signal fetal compromise.

🟣 Other measures include BP monitoring and rest on left side, not supine.

🟣 Sodium/fluid restriction is generally not recommended without provider advice.

🟣 Empowering the patient improves outcomes.

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Answer 10

Correct Answers:

Excessive uterine enlargement.

Rationale :

🟠 Hydatidiform mole often causes the uterus to grow larger than expected for gestational age.

🟠 Other signs: absence of fetal heart tones, dark vaginal bleeding, elevated hCG.

🟠 Uterine size helps monitor for recurrence or malignancy.

🟠 Serial hCG checks also important.

🟠 Early recognition is key for prompt treatment.

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ATI LPN Maternal Exam I

No.

1 :
A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

2 :
A nurse should include which of the following information?

3 :
A nurse is caring for a client who is pregnant in a provider’s office.

Answer Options

4 :
A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?

5 :
A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

6 :
A nurse is caring for a 22-year-old female client who is experiencing lower abdominal pelvic pain. The client is at risk of developing a condition due to a finding.

7 :
A nurse is admitting a client who is at 36 weeks gestation and has pain, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:

8 :
A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

9 :
A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

10 :
The nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings? Choice Options:

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ATI LPN Maternal Exam I

No.

1 : A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

2 : A nurse should include which of the following information?

3 : A nurse is caring for a client who is pregnant in a provider’s office.

Answer Options

4 : A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?

5 : A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

6 : A nurse is caring for a 22-year-old female client who is experiencing lower abdominal pelvic pain. The client is at risk of developing a condition due to a finding.

7 : A nurse is admitting a client who is at 36 weeks gestation and has pain, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:

8 : A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

9 : A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

10 : The nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings? Choice Options:

1 :
A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

2 :
A nurse should include which of the following information?

3 :
A nurse is caring for a client who is pregnant in a provider’s office.

4 :
A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?

5 :
A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

6 :
A nurse is caring for a 22-year-old female client who is experiencing lower abdominal pelvic pain. The client is at risk of developing a condition due to a finding.

7 :
A nurse is admitting a client who is at 36 weeks gestation and has pain, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:

8 :
A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

9 :
A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

10 :
The nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings? Choice Options: