ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 39 weeks in labor, third pregnancy, early miscarriage at 8 weeks, stillborn at 36 weeks
Question 1 of 5
A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?
Correct Answer: D
Rationale: GTPAL: Gravidity (3 pregnancies: current, miscarriage, stillborn), Term (0 births ≥37 weeks), Preterm (1 stillborn at 36 weeks), Abortions (1 miscarriage at 8 weeks), Living children (0, as stillborn is not counted as living). Thus, G3 T0 P1 A1 L0 is correct.
Extract:
Teaching about amniotic fluid function
Question 2 of 5
A nurse is teaching students about the function of the amniotic fluid. Which of the following statements by the students shows effective teaching? (Select All that Apply.)
Correct Answer: B,D,E
Rationale: Amniotic fluid regulates fetal temperature, cushions/protects the fetus, and allows free movement for symmetric growth. It does not produce hormones, aid digestion, or regulate fetal heart rate.
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 toddler with several bruises
Question 4 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 action is to assess the situation by asking parents about the bruises to determine if they are accidental or concerning for abuse, before escalating to social services or the provider.
Extract:
A pediatric unit managing communicable diseases
Question 5 of 5
A nurse on a pediatric unit is reviewing transmission-based precautions. Which of the following communicable diseases should cause the nurse to implement contact precautions? (Select All that Apply.)
Correct Answer: A,B
Rationale: MRSA and VRE require contact precautions due to transmission via direct contact or contaminated surfaces. Pertussis, influenza, and Group A Streptococcus (unless skin-related) require droplet precautions.