ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
Question 1 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 23 weeks of gestation and will return to the facility the following week for an amniocentesis
Question 2 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.
Extract:
A client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move
Question 3 of 5
A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Feeling fetal movement (quickening) is considered a presumptive sign because it is subjective and reported by the client, which may indicate pregnancy but is not definitive.
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 4 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 5 of 5
How is the estimated due date in pregnancy calculated?
Correct Answer: A
Rationale: This is Naegele's rule for estimating the due date: subtract 3 months from the first day of the last menstrual period (LMP), add 7 days, and then add 1 year.