ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is checking her basal temperature to identify when ovulation occurs
Question 1 of 5
A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?
Correct Answer: D
Rationale: Basal body temperature should be measured every morning before getting out of bed, as any activity can alter the temperature and reduce accuracy in detecting ovulation.
Extract:
A client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min.
Question 2 of 5
A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Vibroacoustic stimulation is a method used during a nonstress test to elicit fetal movement and assess fetal well-being. This is the appropriate intervention for a lack of fetal movement.
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 3 of 5
A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A: Amniocentesis can detect chromosomal abnormalities, such as Down syndrome (trisomy 21). B: Amniocentesis can identify the gender of the fetus by analyzing the fetal cells obtained from the amniotic fluid. C: Amniocentesis can detect neural tube defects such as spina bifida by measuring the levels of alpha-fetoprotein (AFP) in the amniotic fluid.
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: 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 pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia
Question 5 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?
Correct Answer: D
Rationale: Vitamin C (found in orange juice) enhances the absorption of iron from supplements and is the best option for improving iron absorption.