ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
12 young adults attending a contraception class
Question 1 of 5
A nurse is assisting a community health nurse teach a class about contraception to a group of young adults. Which post-test answers provided by class participants require follow-up by the nurse?
Correct Answer: A,B,D,E
Rationale: A: Oil-based lubricants can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants should be used with latex condoms for safe use. B: Condoms should be put on before any genital contact to prevent the risk of pregnancy and sexually transmitted infections (STIs). They should not be placed only before ejaculation. D: Diaphragms should be left in place for at least 6 hours but no longer than 24 hours after intercourse to prevent the risk of toxic shock syndrome and ensure effectiveness. E: While abdominal pain can indicate complications, such as ectopic pregnancy or hepatic issues, it should not be considered a typical side effect. H: While some hormonal IUDs are effective for 3-5 years, copper IUDs can last up to 10-12 years. Patients should be informed about the specific replacement schedule based on the type of IUD used.
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 2 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 scheduled for a nonstress test
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
Correct Answer: D
Rationale: A nonstress test involves the use of an external fetal monitor to assess the fetal heart rate and its response to fetal movements. This helps determine fetal well-being.
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A: Amniocentesis can detect chromosomal abnormalities, such as Down syndrome (trisomy 21). B: Amniocentesis can identify the gender of the fetus by analyzing the fetal cells obtained from the amniotic fluid. C: Amniocentesis can detect neural tube defects such as spina bifida by measuring the levels of alpha-fetoprotein (AFP) in the amniotic fluid.
Extract:
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The indirect Coombs test is used to detect Rh antibodies in the mother's blood, which could indicate a risk of hemolytic disease of the newborn if the fetus is Rh-positive.