ATI LPN
PN ATI Capstone Maternal Newborn Questions
Question 1 of 5
A nurse is caring for a postmenopausal client prescribed the aromatase inhibitor, anastrozole for the treatment of breast cancer. Which of the following should the nurse tell the client she may experience?
Correct Answer: B
Rationale: Muscle and joint pain are common side effects of aromatase inhibitors like anastrozole. These side effects can be managed with analgesics as prescribed by the healthcare provider.
Question 2 of 5
A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should initiate seizure precautions because severe preeclampsia poses a high risk for seizures (eclampsia), ensuring the safety of the client.
Question 3 of 5
A pregnant client's last menstrual period was May 4th, 2013. What is this client's estimated delivery date using Naegele's Rule?
Correct Answer: B
Rationale: Naegele's rule is a standard way of calculating an estimated delivery date (EDD). It involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and then adding one year. In this case, subtracting three months from May 4th, 2013, gives February 4th. Adding seven days results in a due date of February 11th, 2014.
Question 4 of 5
A nurse is performing a vaginal exam on a client who is in active labor. The nurse notes the umbilical cord protruding through the cervix. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The nurse should assist the client into the knee-chest position to relieve pressure on the umbilical cord. This position helps to prevent cord compression and improves fetal oxygenation.
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin to augment labor. The nurse notes recurrent variable decelerations of the FHR. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action should be to discontinue the infusion of oxytocin, as it can contribute to uterine hyperstimulation and fetal distress. This allows for immediate assessment and management of the fetal heart rate.
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