ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer
Question 1 of 5
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. Which of the following statements should the nurse tell the client?
Correct Answer: A
Rationale: A negative rubella titer indicates the client is not immune to rubella. Since the rubella vaccine is a live vaccine, it cannot be given during pregnancy but should be administered postpartum to protect the client and future pregnancies.
Extract:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 2 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegels 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: A
Rationale: Using Naegele's rule: Subtract 3 months from May 4 (February 4), then add 7 days (February 11). The estimated date of delivery is February 11.
Extract:
12 young adults attending a contraception class
Question 3 of 5
A nurse is assisting a community health nurse teach a class about contraception to a group of young adults. Which post-test answers provided by class participants require follow-up by the nurse?
Correct Answer: A,B,D,E
Rationale: A: Oil-based lubricants can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants should be used with latex condoms for safe use. B: Condoms should be put on before any genital contact to prevent the risk of pregnancy and sexually transmitted infections (STIs). They should not be placed only before ejaculation. D: Diaphragms should be left in place for at least 6 hours but no longer than 24 hours after intercourse to prevent the risk of toxic shock syndrome and ensure effectiveness. E: While abdominal pain can indicate complications, such as ectopic pregnancy or hepatic issues, it should not be considered a typical side effect. H: While some hormonal IUDs are effective for 3-5 years, copper IUDs can last up to 10-12 years. Patients should be informed about the specific replacement schedule based on the type of IUD used.
Extract:
A client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis.
Question 4 of 5
A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client's plan of care?
Correct Answer: B
Rationale: Assessing the type and amount of vaginal bleeding is crucial in monitoring the progress of an incomplete abortion and determining the need for further interventions, such as dilation and curettage (D&
C) or medication.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis
Question 5 of 5
A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: At 23 weeks of gestation, the bladder should be emptied to prevent accidental puncture during the amniocentesis.