ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
Extract:
Client in active labor, cervix at least 4 cm dilated.
Question 1 of 5
An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?
Correct Answer: A
Rationale: Epidural anesthesia involves injecting anesthetic into the epidural space to block pain during active labor, typically at 4 cm dilation.
Extract:
Question 2 of 5
A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 6 mL
Rationale: Using the formula: (300 mg / 250 mg) x 5 mL = 6 mL, the nurse should administer 6 mL of amoxicillin.
Extract:
Client in preterm labor at 30 weeks of gestation, new prescription for betamethasone.
Question 3 of 5
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Betamethasone, a corticosteroid, promotes fetal lung maturity by stimulating surfactant production in preterm labor.
Extract:
Client is a 26-year-old gravida 3 para 2 at 39 weeks gestation being induced for oligohydramnios. No significant social or medical history. Only complication is oligohydramnios. Previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission: 1 cm, 40% effaced, -2 station. No bloody show. Induced via Foley bulb induction. At 1200: 6 cm, 70% effaced, 0 station, membranes intact. Contractions every 2-3 min, strong. Fetal heart rate 140-145/min with average variability, drops to 100/min with contractions, lasts 20 sec, returns to baseline within 30 sec. Vital Signs at 1000: BP 122/74 mm Hg, HR 98/min, RR 20/min, Temp 36.7°C (98.1°F), O2 sat 99% on room air.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what complication the client is most likely experiencing, 2 actions the nurse should take to address that complication, and 2 parameters the nurse should monitor to assess the client's progress. Actions to take:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer:
Rationale: Variable decelerations, indicated by a drop to 100/min with contractions, suggest cord compression due to oligohydramnios. Turning the client to the left side relieves cord pressure, and amnioinfusion adds fluid to cushion the cord. Monitoring fetal heart rate baseline and uterine contraction strength assesses intervention effectiveness.
Extract:
Client with fetal monitor strip showing accelerations.
Question 5 of 5
A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?
Correct Answer: A
Rationale: Fetal heart rate accelerations are reassuring, indicating good fetal oxygenation, requiring no intervention.