ATI LPN
ATI LPN OB Maternal Newborn Cohort 65 Exam Questions
Extract:
Question 1 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.
Extract:
A client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move
Question 2 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 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination
Question 3 of 5
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
Correct Answer: A
Rationale: MSAFP is a screening tool used to detect neural tube defects (such as spina bifida and anencephaly) in the developing fetus. Elevated levels of AFP are associated with such defects.
Extract:
Gravida 4 Para 3, 32 weeks of gestation, BMI 32, History of two newborns weighing over 4.5 kg (10lb.), Family history of Type 1 diabetes mellitus (maternal), Fetal heart rate 140/min via Doppler, Fasting blood glucose 138 mg/dl (60-105 mg/dl), Fasting blood glucose 142 mg/dl (60-105 mg/dl), HbA1C 12% (<6.5%)
Question 4 of 5
A nurse is caring for a client who is pregnant. Select the 3 actions that the nurse should plan to take
Correct Answer: A,C,D
Rationale: A: For clients with gestational diabetes, dietary modifications are a critical intervention. Limiting carbohydrate intake to 40% of daily calories can help regulate blood glucose levels. C: Given the elevated fasting blood glucose levels and high HbA1C (12%), this client may require pharmacological management to control blood sugar levels. Metformin is a common oral hypoglycemic agent used during pregnancy when diet and lifestyle changes are insufficient. D: Clients with uncontrolled gestational diabetes or poorly controlled blood sugar levels are at increased risk of fetal complications such as macrosomia, stillbirth, and preterm labor. A non-stress test (NST) twice a week helps monitor fetal well-being and detect early signs of distress.
Extract:
A client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis
Question 5 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.