ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile
Question 1 of 5
A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A score of 8-10 on a biophysical profile indicates fetal well-being, requiring no intervention.
Extract:
A client who presents to a labor and delivery unit with rapidly progressing labor
Question 2 of 5
A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: The safety of the infant during rapid delivery is the top priority.
Extract:
Gravida 4 Para 3, 31 weeks of gestation, client reports cramping and low back pain that started last night, FHTs 140 beats/min, Vital Signs: Temperature 36.8°C (98.2°F), Heart rate 88 bpm, Respiratory rate 18 breaths/min, Blood pressure 118/78 mmHg, Oxygen saturation 99% on room air, Uterine contractions noted every 10 minutes lasting 30 seconds
Question 3 of 5
The nurse is contacting the provider regarding the client's status. Which of the following findings should the nurse include in the report? Select the 4 findings that the nurse should report
Correct Answer: A,C,E,F
Rationale: A: The client is 31 weeks of gestation, which is preterm, critical for determining preterm labor risk. C: Contractions every 10 minutes lasting 30 seconds suggest preterm labor. E: Cramping and low back pain indicate potential preterm labor. F: FHR of 140 bpm is normal but necessary for monitoring fetal status.
Extract:
A client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.'
Question 4 of 5
A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can 'feel the baby moving.' The client should undergo an ultrasound to determine which of the following findings
Correct Answer: D
Rationale: Heavy, painless vaginal bleeding in late pregnancy can indicate placenta previa. Ultrasound is essential to assess placental location to rule out this potentially life-threatening condition.
Extract:
A client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction.
Question 5 of 5
A nurse is assisting with the care of a client who is in labor and has an external electronic fetal monitor. The nurse observes that the fetal heart rate begins to decelerate after the contraction has started, with the lowest point of the deceleration occurring after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Lateral positioning improves uteroplacental blood flow and is the priority intervention for late decelerations.