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:
A client close to labor, reporting frequent Braxton Hicks contractions and preparing the nursery
Question 2 of 5
The provider notes a client may be close to labor when she reports more frequent Braxton Hicks contractions and preparing the nursery with the baby's furniture and clothes, an instinct that often begins at the end of the pregnancy known as
Correct Answer: A
Rationale: Nesting is the instinctual urge to prepare for the baby, often occurring late in pregnancy, signaled by activities like organizing the nursery.
Extract:
A toddler with several bruises
Question 3 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.
Extract:
An adolescent
Question 4 of 5
A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Adolescents require 8-10 hours of sleep to support growth and development. Sharing needles, caloric restriction, and tanning beds pose health risks and should not be recommended.
Extract:
A client at 39 weeks of gestation
Question 5 of 5
A client who is at 39 weeks of gestation tells the nurse, 'It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again.' The nurse should recognize that the client is experiencing the effects of which of the following?
Correct Answer: A
Rationale: Lightening occurs late in pregnancy when the fetus descends into the pelvis, relieving pressure on the diaphragm and making breathing easier.