ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A child in the hospital
Question 1 of 5
What is a transitional object in the hospital to a child?
Correct Answer: D
Rationale: A transitional object (e.g., a blanket or stuffed animal) provides comfort and familiarity to a child in the unfamiliar hospital environment, reducing stress.
Extract:
A client at 7 cm cervical dilation, 100% effaced, fetus at 1 station, intact amniotic membranes, urge to push
Question 2 of 5
In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?
Correct Answer: B
Rationale: The first stage of labor includes latent (0-5 cm) and active (6-10 cm) phases. At 7 cm dilation with 100% effacement and an urge to push, the client is in the active phase of the first stage. The second stage begins at 10 cm dilation.
Extract:
A 34-year-old gravida 3, para 2, experiencing severe back pain with contractions
Question 3 of 5
A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?
Correct Answer: D
Rationale: Severe back pain during labor is often due to occiput posterior fetal positioning, causing pressure on the sacrum. Counterpressure directly to the lower back is the most effective intervention to alleviate this pain.
Extract:
A 32-year-old female, 11 weeks pregnant, no living children, two miscarriages at 9 and 12 weeks gestation
Question 4 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 primigravida at 24 weeks gestation
Question 5 of 5
A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?
Correct Answer: B
Rationale: Fundal height in centimeters should roughly equal gestational age (±2 cm) after 20 weeks. At 24 weeks, a fundal height of 22-26 cm is normal. 26 cm is within this range, while 16 cm and 12 cm are too low, and 30 cm is too high, potentially indicating issues like IUGR or polyhydramnios.