ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
A client who is scheduled for a nonstress test
Question 1 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.
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 2 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:
Question 3 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?
Correct Answer: B
Rationale: Gestational diabetes can cause the newborn to produce excess insulin in response to maternal hyperglycemia, which can result in hypoglycemia after birth.
Extract:
A client who is at 15 weeks of gestation and is about to undergo an amniocentesis
Question 4 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 at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day
Question 5 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.