ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 39 weeks of gestation
Question 1 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.
Extract:
A laboring patient with anxiety, vomiting, and need to have a bowel movement
Question 2 of 5
A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?
Correct Answer: B
Rationale: Symptoms like anxiety, vomiting, and rectal pressure indicate the transition phase of labor (8-10 cm dilation, 100% effacement), where contractions are intense and the urge to push may begin.
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:
Teaching about amniotic fluid function
Question 4 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 client in labor
Question 5 of 5
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?
Correct Answer: B
Rationale: The second stage of labor begins when the cervix is fully dilated (10 cm), allowing pushing and delivery. Regular contractions and membrane rupture occur in earlier stages.