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 newborn
Question 3 of 5
A nurse is collecting data from a newborn and notes a swollen area on the head that does not cross the suture line. The nurse should document this finding as which of the following?
Correct Answer: C
Rationale: A localized collection of blood between the skull and periosteum, which does not cross suture lines, is characteristic of cephalohematoma.
Extract:
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds
Question 4 of 5
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse's initial action?
Correct Answer: A
Rationale: Oxytocin should be stopped immediately to prevent hyperstimulation of the uterus, which can lead to fetal distress or uterine rupture.
Extract:
A client who presents to a labor and delivery unit with rapidly progressing labor
Question 5 of 5
A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: The safety of the infant during rapid delivery is the top priority.