ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client with fetal monitor strip showing accelerations.
Question 1 of 5
A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?
Correct Answer: A
Rationale: Fetal heart rate accelerations are reassuring, indicating good fetal oxygenation, requiring no intervention.
Extract:
Question 2 of 5
What is considered non-pharmacological pain management from the list below? (please select all that apply)
Correct Answer: A,B,D
Rationale: Non-pharmacological methods like creating a relaxing environment, sacral counterpressure, and effleurage reduce labor pain without medications.
Extract:
Client is a 26-year-old gravida 3 para 2 at 39 weeks gestation being induced for oligohydramnios. No significant social or medical history. Only complication is oligohydramnios. Previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission: 1 cm, 40% effaced, -2 station. No bloody show. Induced via Foley bulb induction. At 1200: 6 cm, 70% effaced, 0 station, membranes intact. Contractions every 2-3 min, strong. Fetal heart rate 140-145/min with average variability, drops to 100/min with contractions, lasts 20 sec, returns to baseline within 30 sec. Vital Signs at 1000: BP 122/74 mm Hg, HR 98/min, RR 20/min, Temp 36.7°C (98.1°F), O2 sat 99% on room air.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what complication the client is most likely experiencing, 2 actions the nurse should take to address that complication, and 2 parameters the nurse should monitor to assess the client's progress. Actions to take:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Variable decelerations, indicated by a drop to 100/min with contractions, suggest cord compression due to oligohydramnios. Turning the client to the left side relieves cord pressure, and amnioinfusion adds fluid to cushion the cord. Monitoring fetal heart rate baseline and uterine contraction strength assesses intervention effectiveness.
Extract:
Question 4 of 5
A nurse is preparing to administer indomethacin 50 mg PO. Available is indomethacin oral suspension 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10 mL
Rationale: Using the formula: 50 mg / 5 mg/mL = 10 mL, the nurse should administer 10 mL of indomethacin.
Question 5 of 5
The 5 factors that affect and define the labor and birth process are:
Correct Answer: B
Rationale: The five factors—passenger (fetus/placenta), passageway (birth canal), powers (contractions), position (maternal), and psychological response (emotional state)—comprehensively define the labor process.