ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 1 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 pregnant and has a prescription for Rho(D) immune globulin/ RhoGAM
Question 2 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin/ RhoGAM. Which of the following information should the nurse include?
Correct Answer: B
Rationale: RhoGAM prevents an Rh-negative mother from forming antibodies that could attack Rh-positive fetal blood in future pregnancies.
Extract:
A client who is at 38 weeks of gestation and has a positive contraction stress test
Question 3 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:
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation.
Question 4 of 5
Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?
Correct Answer: D
Rationale: G' (Gravida) is 2 because she is pregnant for the second time. 'T' (Term) is 1 because she had one term pregnancy that resulted in the birth of her daughter. 'P' (Preterm) is 0 because she has no preterm births. 'A' (Abortions) is 0 because she has had no miscarriages or abortions. 'L' (Living children) is 1 because she has one living child.
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 5 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.