ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10lb.), Family history of Type 1 diabetes mellitus (maternal), Fetal heart rate 140/min via Doppler, Fasting blood glucose 138 mg/dl (60-105 mg/dl), Fasting blood glucose 142 mg/dl (60-105 mg/dl), HbA1C 12% (<6.5%)
Question 1 of 5
A nurse is caring for a client who is pregnant. Select the 3 actions that the nurse should plan to take
Correct Answer: A,C,D
Rationale: A: For clients with gestational diabetes, dietary modifications are a critical intervention. Limiting carbohydrate intake to 40% of daily calories can help regulate blood glucose levels. C: Given the elevated fasting blood glucose levels and high HbA1C (12%), this client may require pharmacological management to control blood sugar levels. Metformin is a common oral hypoglycemic agent used during pregnancy when diet and lifestyle changes are insufficient. D: Clients with uncontrolled gestational diabetes or poorly controlled blood sugar levels are at increased risk of fetal complications such as macrosomia, stillbirth, and preterm labor. A non-stress test (NST) twice a week helps monitor fetal well-being and detect early signs of distress.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Depot medroxyprogesterone is administered as an intramuscular injection, typically in the deltoid or gluteal muscle, to ensure proper absorption and contraceptive effectiveness.
Extract:
A client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move
Question 3 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 at 38 weeks of gestation and has a score of 10 on her biophysical profile
Question 4 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: C
Rationale: A biophysical profile score of 10 is considered normal, indicating the fetus is well-oxygenated and not experiencing distress. The nurse should reassure the client that the score is normal.
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.