ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis.
Question 1 of 5
A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client's plan of care?
Correct Answer: B
Rationale: Assessing the type and amount of vaginal bleeding is crucial in monitoring the progress of an incomplete abortion and determining the need for further interventions, such as dilation and curettage (D&
C) or medication.
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 2 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:
A client who is being fitted for a contraceptive diaphragm
Question 3 of 5
A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Significant weight changes, such as a 20% weight loss or gain, may alter the fit of the diaphragm, making it less effective. It should be refitted or replaced after such changes.
Extract:
A client who is scheduled for a nonstress test
Question 4 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 in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 5 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.