ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 1 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 pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min.
Question 2 of 5
A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Vibroacoustic stimulation is a method used during a nonstress test to elicit fetal movement and assess fetal well-being. This is the appropriate intervention for a lack of fetal movement.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa
Question 3 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?
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:
A client who is at 34 weeks of gestation and has a suspected placenta previa
Question 4 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 pregnant and whose routine diagnostic testing reveals a negative rubella titer
Question 5 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?
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.