ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A 34-year-old gravida 3, para 2, experiencing severe back pain with contractions
Question 1 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:
Developing organs and body systems
Question 2 of 5
Developing organs and body systems are highly susceptible to teratogens, which can cause major abnormalities. These teratogens usually fall into one of three categories: (Select all that apply.)
Correct Answer: B,C,E
Rationale: Teratogens causing congenital abnormalities include chemicals (e.g., alcohol, drugs), environmental factors (e.g., radiation), and infections (e.g., rubella). Hormonal imbalances, stress, and trauma are not classified as teratogens.
Extract:
A client at 36 weeks of gestation undergoing a nonstress test (NST)
Question 3 of 5
A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks 'What are you looking for during this test?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A nonstress test (NST) monitors fetal heart rate (FHR) accelerations. A reactive NST, indicating fetal well-being, shows at least two accelerations of 15 bpm lasting 15 seconds within 20 minutes. Blood draws and ultrasounds are separate procedures, and movement counts are not part of NST criteria.
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 with painful irregular contractions since 2000, admitted at 0400, cervical finding fingertip and 50% effaced
Question 5 of 5
A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.
Correct Answer: C
Rationale: For prodromal labor with no cervical progression, a sedative like a barbiturate is used for therapeutic rest to promote sleep. Misoprostol and oxytocin induce labor, and fentanyl is for pain, not rest.