ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is experiencing preterm labor and is scheduled to undergo amniocentesis
Question 1 of 5
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: In preterm labor, amniocentesis is performed to assess fetal lung maturity by analyzing the levels of surfactant (lecithin and sphingomyelin). This helps determine if the fetus is ready for delivery.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis
Question 2 of 5
A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: At 23 weeks of gestation, the bladder should be emptied to prevent accidental puncture during the amniocentesis.
Extract:
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation.
Question 3 of 5
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?
Correct Answer: D
Rationale: G' (Gravida) is 2 because she is pregnant for the second time. 'T' (Term) is 1 because she had one term pregnancy that resulted in the birth of her daughter. 'P' (Preterm) is 0 because she has no preterm births. 'A' (Abortions) is 0 because she has had no miscarriages or abortions. 'L' (Living children) is 1 because she has one living child.
Extract:
A client who is at 30 weeks of gestation and scheduled for a nonstress test (NST)
Question 4 of 5
A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and scheduled for a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: This statement indicates a need for further teaching because lying on the back during pregnancy, especially in the third trimester, can cause supine hypotensive syndrome due to the weight of the uterus compressing the vena cava. The client should be encouraged to lie in a semi-Fowler's or side-lying position during the NST.
Extract:
A client who is at 34 weeks of gestation and has a suspected placenta previa
Question 5 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.