ATI LPN
ATI PN Maternal Newborn 2023 II Questions
Extract:
A nurse is reinforcing teaching with a client who tested positive for group B streptococcus β-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: You will be tested again for GBS at about 36 weeks of gestation.â€. This is correct because retesting for GBS at 35-37 weeks of gestation is standard practice to identify colonization status before delivery, which helps in planning intrapartum antibiotic prophylaxis.
Extract:
A nurse is reinforcing teaching to a client who will undergo amniocentesis.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Amniocentesis is used to detect fetal genetic abnormalities, such as Down syndrome, by analyzing the amniotic fluid for genetic markers.
Extract:
A nurse is assisting with the care of a client who is in active labor. The fetal monitor tracing shows late decelerations.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side is correct. This intervention can improve blood flow to the fetus and reduce the pressure on the vena cava, potentially alleviating late decelerations.
Extract:
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse notes maternal exposure to rubella during pregnancy.
Question 4 of 5
After delivery, the nurse should monitor the newborn for which of the following conditions?
Correct Answer: D
Rationale: Deafness is a significant risk associated with congenital rubella syndrome. Rubella can damage the developing auditory system in utero, leading to permanent hearing loss in the newborn.
Extract:
A nurse is caring for a client who inquires about a cervical cap for contraception.
Question 5 of 5
The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?
Correct Answer: C
Rationale: History of toxic shock syndrome (TSS) is a contraindication for the use of a cervical cap because the cap can increase the risk of developing TSS again.