ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.'
Question 1 of 5
A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.' The client should undergo an ultrasound to determine which of the following findings
Correct Answer: D
Rationale: Heavy, painless vaginal bleeding in late pregnancy can indicate placenta previa. Ultrasound is essential to assess placental location to rule out this potentially life-threatening condition.
Extract:
A client who is experiencing preterm labor
Question 2 of 5
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?
Correct Answer: D
Rationale: The primary reason for amniocentesis in preterm labor is to assess fetal lung maturity and determine whether steroids or other interventions are needed.
Extract:
A client who is in active labor
Question 3 of 5
A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?
Correct Answer: D
Rationale: Variable decelerations are due to compression of the umbilical cord, which affects fetal oxygenation.
Extract:
A client who is in labor
Question 4 of 5
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?
Correct Answer: B
Rationale: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.
Extract:
A client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor
Question 5 of 5
A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?
Correct Answer: D
Rationale: Cervical dilation is the definitive sign of labor as it indicates the cervix is opening to allow delivery.