ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is at 34 weeks of gestation and at risk for placental abruption
Question 1 of 5
A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?
Correct Answer: A
Rationale: Maternal hypertension is the most common risk factor for placental abruption. High blood pressure can cause stress on the blood vessels in the placenta, leading to premature detachment from the uterine wall.
Extract:
A client who is at 30 weeks of gestation and scheduled for a nonstress test (NST)
Question 2 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 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis.
Question 3 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:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10lb.), Family history of Type 1 diabetes mellitus (maternal), Fetal heart rate 140/min via Doppler, Fasting blood glucose 138 mg/dl (60-105 mg/dl), Fasting blood glucose 142 mg/dl (60-105 mg/dl), HbA1C 12% (<6.5%)
Question 4 of 5
A nurse is caring for a client who is pregnant. Select the 3 actions that the nurse should plan to take
Correct Answer: A,C,D
Rationale: A: For clients with gestational diabetes, dietary modifications are a critical intervention. Limiting carbohydrate intake to 40% of daily calories can help regulate blood glucose levels. C: Given the elevated fasting blood glucose levels and high HbA1C (12%), this client may require pharmacological management to control blood sugar levels. Metformin is a common oral hypoglycemic agent used during pregnancy when diet and lifestyle changes are insufficient. D: Clients with uncontrolled gestational diabetes or poorly controlled blood sugar levels are at increased risk of fetal complications such as macrosomia, stillbirth, and preterm labor. A non-stress test (NST) twice a week helps monitor fetal well-being and detect early signs of distress.
Extract:
A client who is pregnant and has a prescription for Rho(D) immune globulin/ RhoGAM
Question 5 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.