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 purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The indirect Coombs test is used to detect Rh antibodies in the mother's blood, which could indicate a risk of hemolytic disease of the newborn if the fetus is Rh-positive.
Extract:
A client who is experiencing preterm labor and is scheduled to undergo amniocentesis
Question 2 of 5
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?
Correct Answer: B
Rationale: In preterm labor, amniocentesis is performed to assess fetal lung maturity by analyzing the levels of surfactant (lecithin and sphingomyelin). This helps determine if the fetus is ready for delivery.
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 a positive contraction stress test
Question 4 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:
A client in a prenatal clinic. The first day of her last menstrual period was May 4.
Question 5 of 5
A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegels 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: A
Rationale: Using Naegele's rule: Subtract 3 months from May 4 (February 4), then add 7 days (February 11). The estimated date of delivery is February 11.