ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 7 weeks of gestation. The client reports urinary frequency.
Question 1 of 5
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Urinary frequency is common in the first trimester due to hormonal changes and increased blood flow to the pelvic area. It typically subsides after the 12th week of pregnancy when the uterus rises out of the pelvis. However, it often returns in the third trimester when the growing uterus presses on the bladder again.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa
Question 2 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester due to the placenta covering the cervical opening.
Extract:
A client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected.
Question 3 of 5
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting, and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
Correct Answer: C
Rationale: A hydatidiform mole (molar pregnancy) is characterized by abnormal placental development, leading to larger-than-expected fundal height, continued nausea and vomiting, and prune-colored vaginal discharge due to bleeding from the uterus. These findings align with the client's symptoms.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test
Question 4 of 5
A nurse is caring for a client who is at 38 weeks of gestation and has a positive contraction stress test. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A positive contraction stress test indicates that there are late decelerations of the fetal heart rate with contractions, suggesting that the fetus may not tolerate labor well. Hospital admission is often necessary for further monitoring and possible intervention.
Extract:
12 young adults attending a contraception class
Question 5 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.