ATI LPN
ATI LPN Maternity OB Cohort 65 Exam Questions
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 1 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:
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:
Question 2 of 5
A disadvantage of internal fetal monitoring is:
Correct Answer: D
Rationale: Internal fetal monitoring is invasive, requiring device insertion into the uterus, which increases the risk of infection compared to external monitoring.
Extract:
Client admitted for preterm labor, receiving magnesium sulfate, respiratory rate 8/min.
Question 3 of 5
A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: B
Rationale: A respiratory rate of 8/min indicates magnesium toxicity, and calcium gluconate is the antidote to reverse this toxicity by counteracting the effects of excessive magnesium.
Extract:
Client in latent phase of labor, experiencing nausea, feelings of helplessness, and irritability.
Question 4 of 5
A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the
Correct Answer: B
Rationale: Nausea, helplessness, and irritability signal the transition to the active phase of labor, where contractions intensify, marking labor progression.
Extract:
Client in second stage of labor.
Question 5 of 5
A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A 2-minute contraction is prolonged, risking reduced fetal blood flow and distress, requiring provider notification.