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 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.
Extract:
A client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile
Question 2 of 5
A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A biophysical profile score of 10 is considered normal, indicating the fetus is well-oxygenated and not experiencing distress. The nurse should reassure the client that the score is normal.
Extract:
A client who has a blood pressure of 146/92 mm Hg
Question 3 of 5
A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives?
Correct Answer: D
Rationale: Oral contraceptives can increase blood pressure and are contraindicated in clients with uncontrolled hypertension (above 140/90 mm Hg) due to the risk of thromboembolic events and cardiovascular complications.
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 who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move
Question 5 of 5
A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Feeling fetal movement (quickening) is considered a presumptive sign because it is subjective and reported by the client, which may indicate pregnancy but is not definitive.