ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is pregnant
Question 1 of 5
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Folic acid is crucial in the prevention of neural tube defects. Women are advised to consume foods fortified with folic acid (e.g., leafy greens, fortified cereals) and take folic acid supplements.
Extract:
A client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis.
Question 2 of 5
A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client's plan of care?
Correct Answer: B
Rationale: Assessing the type and amount of vaginal bleeding is crucial in monitoring the progress of an incomplete abortion and determining the need for further interventions, such as dilation and curettage (D&
C) or medication.
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 3 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: A
Rationale: Using Naegele's rule: Subtract 3 months from May 4 (February 4), then add 7 days (February 11). The estimated date of delivery is February 11.
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 4 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: A
Rationale: Heavy, painless vaginal bleeding without contractions is a classic sign of placenta previa, where the placenta is abnormally positioned near or over the cervix. An ultrasound is used to determine placental location.
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 5 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: C
Rationale: Using Naegele's rule, subtracting 3 months from May 4 gives February 4, and then adding 7 days results in February 11.