ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A 37-year-old female, 18 weeks pregnant, two sets of twins born at 37 and 38 weeks, a 9-year-old son born at 34 weeks, no miscarriages or abortions
Question 1 of 4
A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 недель and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?
Correct Answer: A
Rationale: GTPAL: Gravidity (4: current + 3 prior pregnancies), Term (2: twins at 37 and 38 weeks), Preterm (1: son at 34 weeks), Abortions (0), Living children (5: 4 twins + 1 son). G4 T2 P1 A0 L5 is correct.
Extract:
A client 14 hr postpartum, breasts soft, fundus firm slightly deviated to the right, moderate lochia rubra, temperature 37.7°C, pulse 88/min, respiratory rate 18/min
Question 2 of 4
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: A fundus deviated to the right suggests a full bladder, which can impede uterine involution. Emptying the bladder is the priority action. The temperature is normal, milk production starts later, and IV fluids are not indicated.
Extract:
Embryonic stage of fetal development
Question 3 of 4
What occurs in the embryonic stage of fetal development?
Correct Answer: B
Rationale: The embryonic stage (weeks 3-8) includes gender differentiation (around weeks 7-8) as the reproductive structures develop. Implantation and initial differentiation occur earlier, and germ cell maturation happens later.
Extract:
A primigravida with painful irregular contractions since 2000, admitted at 0400, cervical finding fingertip and 50% effaced
Question 4 of 4
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.
Extract:
A postpartum client with large amount of lochia rubra and several clots
Question 5 of 4
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Excessive lochia rubra with clots suggests postpartum hemorrhage, often due to uterine atony. Checking the fundus for firmness is the first action, as a boggy uterus requires immediate intervention like massage.