ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected.
Question 1 of 5
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: A hydatidiform mole (molar pregnancy) is characterized by abnormal placental development, leading to larger-than-expected fundal height, continued nausea and vomiting, and prune-colored vaginal discharge due to bleeding from the uterus. These findings align with the client's symptoms.
Extract:
Question 2 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.
Extract:
A client who is at 34 weeks of gestation and has a suspected placenta previa
Question 3 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:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: Maternal hypertension is the most common risk factor for placental abruption. High blood pressure can cause stress on the blood vessels in the placenta, leading to premature detachment from the uterine wall.
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 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.