ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A 30-year-old primigravida, 18 weeks pregnant, feeling fluttering in her lower abdomen
Question 1 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 34-year-old gravida 3, para 2, experiencing severe back pain with contractions
Question 2 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 client at 21 weeks of gestation with an identical twin
Question 3 of 5
During a prenatal class, a client reports she has an identical twin. What is the classification of twins who share the same chromosomal material?
Correct Answer: D
Rationale: Identical twins, who share the same chromosomal material, are monozygotic, resulting from one fertilized egg splitting. Fraternal (dizygotic) twins come from two eggs, and trizygotic refers to triplets, not twins.
Extract:
An adolescent with hypothyroidism prescribed Levothyroxine 100 mcg daily, supplied in 0.1 mg tablets
Question 4 of 5
An adolescent diagnosed with hypothyroidism is prescribed Levothyroxine 100 mcg po daily. The medication is supplied in 0.1mg tablets. How much should the nurse administer? (Use a leading zero if it applies, do not use a trailing zero, Round to a whole number)
Correct Answer: 1
Rationale: 100 mcg = 0.1 mg. The tablets are 0.1 mg each, so 1 tablet is required to deliver the prescribed dose.
Extract:
A toddler with several bruises
Question 5 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.