KJHGFDS
ATI Custom: LPN Maternal NSG 2420 Exam 1 Fall 2025……………………4/NOV/2025
1. A nurse is teaching a prenatal class about the role of the placenta. Which hormone
produced by the placenta helps maintain the pregnancy after the first trimester?
Progesterone
Follicle-stimulating hormone (FSH)
Luteinizing hormone (LH)
ST
Oxytocin
U
2. A client who is pregnant has cultural and religious beliefs that are affecting the acceptance
of her pregnancy and prenatal plan of care. What can the nurse suggest to help the client
cope and move forward with acceptance?
D
Offer to schedule a meeting that includes the client, her support person, and the healthcare
provider to discuss her concerns and beliefs
YL
Explore alternative cultural practices that may align with the client's religious beliefs.
Explain that pregnant clients are expected to follow the same standard prenatal care plan.
AB
Encourage the client to follow the provider's recommendations without allowing cultural beliefs
to interfere.
3.A nurse is caring for a client who is 36 weeks pregnant. The client reports sudden-onset
abdominal pain, dark red vaginal bleeding, and decreased fetal movement.
Nurse's Notes
Client: G3P1 at 36 weeks gestation Chief Complaint: "I started bleeding and have really bad
stomach pain." Observations:
NBVCXZ
, KJHGFDS
Abdomen firm and tender to palpation
Moderate dark red vaginal bleeding
Reports decreased fetal movement
Appears anxious and restless
Denies trauma or recent intercourse
Vital signs
ST
BP: 140/90 mm Hg
HR: 110 bpm
Temp: 98.6°F (37°C)
U
Oxygen saturation 96% on room air
Fetal monitor
D
Minimal variability, intermittent late decelerations
The nurse is reviewing the client's assessment data to prepare a plan of care. Complete the
YL
diagram by dragging from the choices below to specify what condition the client is most likely
experiencing, two actions the nurse should take to address that condition, and two parameters
the nurse should monitor to assess the client's progress.
Actions to Take
AB
Notify the provider immediately and prepare for possible
Perform a vaginal exam to assess cervical dilation
Potential Conditions
Placental Abruption
Urinary tract infection
Parameters to Monitor
Urine pH and specific gravity
NBVCXZ
, KJHGFDS
Maternal blood pressure and signs of hypovolemic shock
Encourage ambulation to stimulate labor
Preterm labor
Deep tendon reflexes Initiate continuous
Ruternal fetal monitoring HELLP syndrome
Fetal heart tones and abdominal tone
ST
Administer axysucin to promote contractions
Maternal blood glucose
Condition: Placental abruption
Actions to take:
U
• Notify the provider immediately and prepare for possible delivery
• Initiate continuous fetal monitoring
D
Parameters to monitor:
• Maternal blood pressure and signs of hypovolemic shock
• Fetal heart tones and abdominal tone
YL
4. A nurse is assisting in the care of a client who is pregnant and experiencing severe
preeclampsia. The nurse notes that the client's vital signs, daily weight, deep tendon reflexes,
and fetal heart rate have been documented. Which two additional parameters should the
AB
nurse monitor regularly for this client?
Urine output and urine protein level
Fundal height and fetal movement
Blood glucose level and platelet count
Respiratory rate and amniotic fluid index
NBVCXZ
ATI Custom: LPN Maternal NSG 2420 Exam 1 Fall 2025……………………4/NOV/2025
1. A nurse is teaching a prenatal class about the role of the placenta. Which hormone
produced by the placenta helps maintain the pregnancy after the first trimester?
Progesterone
Follicle-stimulating hormone (FSH)
Luteinizing hormone (LH)
ST
Oxytocin
U
2. A client who is pregnant has cultural and religious beliefs that are affecting the acceptance
of her pregnancy and prenatal plan of care. What can the nurse suggest to help the client
cope and move forward with acceptance?
D
Offer to schedule a meeting that includes the client, her support person, and the healthcare
provider to discuss her concerns and beliefs
YL
Explore alternative cultural practices that may align with the client's religious beliefs.
Explain that pregnant clients are expected to follow the same standard prenatal care plan.
AB
Encourage the client to follow the provider's recommendations without allowing cultural beliefs
to interfere.
3.A nurse is caring for a client who is 36 weeks pregnant. The client reports sudden-onset
abdominal pain, dark red vaginal bleeding, and decreased fetal movement.
Nurse's Notes
Client: G3P1 at 36 weeks gestation Chief Complaint: "I started bleeding and have really bad
stomach pain." Observations:
NBVCXZ
, KJHGFDS
Abdomen firm and tender to palpation
Moderate dark red vaginal bleeding
Reports decreased fetal movement
Appears anxious and restless
Denies trauma or recent intercourse
Vital signs
ST
BP: 140/90 mm Hg
HR: 110 bpm
Temp: 98.6°F (37°C)
U
Oxygen saturation 96% on room air
Fetal monitor
D
Minimal variability, intermittent late decelerations
The nurse is reviewing the client's assessment data to prepare a plan of care. Complete the
YL
diagram by dragging from the choices below to specify what condition the client is most likely
experiencing, two actions the nurse should take to address that condition, and two parameters
the nurse should monitor to assess the client's progress.
Actions to Take
AB
Notify the provider immediately and prepare for possible
Perform a vaginal exam to assess cervical dilation
Potential Conditions
Placental Abruption
Urinary tract infection
Parameters to Monitor
Urine pH and specific gravity
NBVCXZ
, KJHGFDS
Maternal blood pressure and signs of hypovolemic shock
Encourage ambulation to stimulate labor
Preterm labor
Deep tendon reflexes Initiate continuous
Ruternal fetal monitoring HELLP syndrome
Fetal heart tones and abdominal tone
ST
Administer axysucin to promote contractions
Maternal blood glucose
Condition: Placental abruption
Actions to take:
U
• Notify the provider immediately and prepare for possible delivery
• Initiate continuous fetal monitoring
D
Parameters to monitor:
• Maternal blood pressure and signs of hypovolemic shock
• Fetal heart tones and abdominal tone
YL
4. A nurse is assisting in the care of a client who is pregnant and experiencing severe
preeclampsia. The nurse notes that the client's vital signs, daily weight, deep tendon reflexes,
and fetal heart rate have been documented. Which two additional parameters should the
AB
nurse monitor regularly for this client?
Urine output and urine protein level
Fundal height and fetal movement
Blood glucose level and platelet count
Respiratory rate and amniotic fluid index
NBVCXZ
