ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 30 weeks of gestation and scheduled for a nonstress test (NST)
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and scheduled for a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: This statement indicates a need for further teaching because lying on the back during pregnancy, especially in the third trimester, can cause supine hypotensive syndrome due to the weight of the uterus compressing the vena cava. The client should be encouraged to lie in a semi-Fowler's or side-lying position during the NST.
Extract:
A client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination
Question 2 of 5
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
Correct Answer: A
Rationale: MSAFP is a screening tool used to detect neural tube defects (such as spina bifida and anencephaly) in the developing fetus. Elevated levels of AFP are associated with such defects.
Extract:
A client who is at 36 weeks of gestation and has suspected placenta previa
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?
Correct Answer: A
Rationale: Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester due to the placenta covering the cervical opening.
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.