ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa
Question 1 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 tells the nurse that she thinks she might be pregnant because she is able to feel the baby move
Question 2 of 5
A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Feeling fetal movement (quickening) is considered a presumptive sign because it is subjective and reported by the client, which may indicate pregnancy but is not definitive.
Extract:
A client who is checking her basal temperature to identify when ovulation occurs
Question 3 of 5
A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?
Correct Answer: D
Rationale: Basal body temperature should be measured every morning before getting out of bed, as any activity can alter the temperature and reduce accuracy in detecting ovulation.
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:
A client who has just learned that she is pregnant
Question 5 of 5
A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
Correct Answer: A
Rationale: Facial edema, especially in the second or third trimester, can be a sign of preeclampsia, a serious condition that requires prompt medical attention.