ATI LPN OB Maternal Newborn Cohort 65 Exam

Extract:

A client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer

Question 1 of 5

A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. Which of the following statements should the nurse tell the client?

A. You will need an immunization following delivery.'B. You are immune to rubella.'C. I will administer the rubella immunization to you today.'D. You had the rubella infection as a child.'

Correct Answer: A

Rationale: A negative rubella titer indicates the client is not immune to rubella. Since the rubella vaccine is a live vaccine, it cannot be given during pregnancy but should be administered postpartum to protect the client and future pregnancies.

Extract:

A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis

Question 2 of 5

A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?

A. Give herself a hypertonic enema the day before the procedure.B. Wash her abdomen with soap and water the morning of the procedure.C. Empty her bladder immediately prior to the procedure.D. Refrain from eating breakfast the day of the procedure.

Correct Answer: C

Rationale: At 23 weeks of gestation, the bladder should be emptied to prevent accidental puncture during the amniocentesis.

Extract:

A client who is pregnant and has a prescription for Rho(D) immune globulin/ RhoGAM

Question 3 of 5

A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin/ RhoGAM. Which of the following information should the nurse include?

A. This medication destroys Rh antibodies in a newborn who is Rh-positive.B. This medication prevents the formation of Rh antibodies by a woman who is Rh-negative.C. This medication destroys Rh antibodies in a woman who is Rh-negative.D. This medication prevents the formation of Rh antibodies in a newborn who is Rh-positive.

Correct Answer: B

Rationale: RhoGAM prevents an Rh-negative mother from forming antibodies that could attack Rh-positive fetal blood in future pregnancies.

Extract:

A client who is at 36 weeks of gestation and has suspected placenta previa

Question 4 of 5

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?

A. Bright red vaginal bleeding without painB. Intermittent abdominal pain following passage of bloody mucusC. Abdominal pain with minimal red vaginal bleedingD. Severe abdominal pain with increasing fundal height

Correct Answer: A

Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester due to the placenta covering the cervical opening.

Extract:

Question 5 of 5

How is the estimated due date in pregnancy calculated?

A. By subtracting 3 months from the first day of the client's last menstrual cycle and then adding 7 days and 1 yearB. By adding 3 months to the first day of the client's last menstrual cycle and then subtracting 7 days and 1 yearC. By subtracting 7 days from the first day of the client's last menstrual cycle and then adding 3 months and 1 yearD. By adding 7 days to the first day of the client's last menstrual cycle and then subtracting 3 months and 1 year

Correct Answer: A

Rationale: This is Naegele's rule for estimating the due date: subtract 3 months from the first day of the last menstrual period (LMP), add 7 days, and then add 1 year.

ATI LPN OB Maternal Newborn Cohort 65 Exam | Nurselytic

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