ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client who is pregnant
Question 1 of 5
A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)
Correct Answer: C,E,F
Rationale: A biophysical profile (BPP) assesses fetal well-being through ultrasound and includes fetal tone (flexion/extension), fetal movement (gross body movements), fetal breathing (respiratory movements), amniotic fluid volume, and nonstress test results. Fetal weight and position are evaluated separately, and fetal urine indirectly contributes to amniotic fluid volume but is not a direct component.
Extract:
A 32-year-old female, 11 weeks pregnant, no living children, two miscarriages at 9 and 12 weeks gestation
Question 2 of 5
A 32-year-old female is currently 11 weeks pregnant. She has no living children. She reports that she had two miscarriages at 9 and 12 weeks gestation. What is her GTPAL
Correct Answer: A
Rationale: GTPAL stands for Gravidity (total pregnancies), Term births (≥37 weeks), Preterm births (20-36 weeks), Abortions/miscarriages (<20 weeks), and Living children. She has three pregnancies (current + two miscarriages), no term or preterm births, two miscarriages, and no living children, making G3 T0 P0 A2 L0 correct.
Extract:
A toddler with several bruises
Question 3 of 5
A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The first step is to gather information by asking the parents about the bruises in a nonjudgmental way to determine if they are accidental or suspicious for abuse. This helps differentiate normal bruising from potential abuse before escalating to social services or the provider.
Extract:
A 30-year-old primigravida, 18 weeks pregnant, feeling fluttering in her lower abdomen
Question 4 of 5
A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
Correct Answer: A
Rationale: Quickening is the first sensation of fetal movement, typically felt between 16-20 weeks, especially in primigravidas. Ballottement is a physical exam finding, lightening occurs later when the fetus drops into the pelvis, and nesting is a pre-labor energy surge.
Extract:
A client who is pregnant, BMI of 26.5
Question 5 of 5
A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?
Correct Answer: B
Rationale: A BMI of 26.5 is in the overweight category (25-29.9). The recommended weight gain for overweight pregnant women is 15-25 pounds to minimize complications like gestational diabetes and hypertension.