ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
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 1 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:
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:
Question 3 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 newborn
Question 4 of 5
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 mL
Rationale: The ordered dose is 1 mg, and the concentration available is 1 mg per 0.5 mL.
Therefore, the nurse will administer 0.5 mL per dose.
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 5 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.