ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination
Question 1 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 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day
Question 2 of 5
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
Correct Answer: A
Rationale: Quickening refers to the first movements of the fetus felt by the mother, which often feels like fluttering or light movements. It typically occurs between 16 and 20 weeks of gestation.
Extract:
A client who has just learned that she is pregnant
Question 3 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.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test
Question 4 of 5
A nurse is caring for a client who is at 38 weeks of gestation and has a positive contraction stress test. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A positive contraction stress test indicates that there are late decelerations of the fetal heart rate with contractions, suggesting that the fetus may not tolerate labor well. Hospital admission is often necessary for further monitoring and possible intervention.
Extract:
A client who is scheduled for a nonstress test
Question 5 of 5
A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?
Correct Answer: D
Rationale: A nonstress test involves the use of an external fetal monitor to assess the fetal heart rate and its response to fetal movements. This helps determine fetal well-being.