ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A newborn
Question 1 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:
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 2 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: A
Rationale: Heavy, painless vaginal bleeding without contractions is a classic sign of placenta previa, where the placenta is abnormally positioned near or over the cervix. An ultrasound is used to determine placental location.
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 34 weeks of gestation and has a suspected placenta previa
Question 4 of 5
A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying an external fetal monitor is the appropriate action because it allows continuous monitoring of the fetal heart rate and uterine activity without disturbing the placenta, which is important in cases of placenta previa.
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 5 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?
Correct Answer: C
Rationale: Using Naegele's rule, subtracting 3 months from May 4 gives February 4, and then adding 7 days results in February 11.