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 administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Depot medroxyprogesterone is administered as an intramuscular injection, typically in the deltoid or gluteal muscle, to ensure proper absorption and contraceptive effectiveness.
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 Naegele's 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: C
Rationale: Using Naegele's rule, subtracting 3 months from May 4 gives February 4, and then adding 7 days results in February 11.
Extract:
A client who is being fitted for a contraceptive diaphragm
Question 3 of 5
A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Significant weight changes, such as a 20% weight loss or gain, may alter the fit of the diaphragm, making it less effective. It should be refitted or replaced after such changes.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis
Question 4 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:
12 young adults attending a contraception class
Question 5 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.