ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test
Question 1 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:
A client who is being fitted for a contraceptive diaphragm
Question 2 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 newborn
Question 3 of 5
A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5 mL
Rationale: The ordered dose is 1 mg, and the concentration available is 1 mg per 0.5 mL.
Therefore, the nurse will administer 0.5 mL per dose.
Extract:
Question 4 of 5
How is the estimated due date in pregnancy calculated?
Correct Answer: A
Rationale: This is Naegele's rule for estimating the due date: subtract 3 months from the first day of the last menstrual period (LMP), add 7 days, and then add 1 year.
Extract:
A client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation.
Question 5 of 5
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The nurse should document which of the following as the client's present parity?
Correct Answer: D
Rationale: Parity refers to the number of pregnancies that reached viability, not the number of fetuses. Since the client delivered twins at 36 weeks (one pregnancy), her parity is 2 (the abortion at 9 and 15 weeks do not count as viable pregnancies).