ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 34 weeks of gestation and has a suspected placenta previa
Question 1 of 5
A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying an external fetal monitor is the appropriate action because it allows continuous monitoring of the fetal heart rate and uterine activity without disturbing the placenta, which is important in cases of placenta previa.
Extract:
Question 2 of 5
A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?
Correct Answer: A
Rationale:
Toxoplasmosis, one of the TORCH infections, can be contracted by eating undercooked or raw meat. Avoiding undercooked meat helps prevent this infection, which can cause severe complications for the fetus.
Extract:
A woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella
Question 3 of 5
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?
Correct Answer: B
Rationale: The MMR vaccine is given postpartum before discharge to women who are not immune to rubella. This ensures they are protected in future pregnancies, as the vaccine is contraindicated during pregnancy.
Extract:
A client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation.
Question 4 of 5
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The nurse should document which of the following as the client's present parity?
Correct Answer: D
Rationale: Parity refers to the number of pregnancies that reached viability, not the number of fetuses. Since the client delivered twins at 36 weeks (one pregnancy), her parity is 2 (the abortion at 9 and 15 weeks do not count as viable pregnancies).
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Depot medroxyprogesterone is administered as an intramuscular injection, typically in the deltoid or gluteal muscle, to ensure proper absorption and contraceptive effectiveness.