ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A laboring patient with anxiety, vomiting, and need to have a bowel movement
Question 1 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 32-year-old female, 11 weeks pregnant, no living children, two miscarriages at 9 and 12 weeks gestation
Question 2 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 client at first prenatal appointment, first day of last menstrual period was September 17
Question 3 of 5
A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?
Correct Answer: A
Rationale: Using Naegele's rule (LMP + 1 year - 3 months + 7 days), September 17 becomes: September 17 next year, subtract 3 months = June 17, add 7 days = June 24.
Extract:
A toddler with several bruises
Question 4 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 action is to assess the situation by asking parents about the bruises to determine if they are accidental or concerning for abuse, before escalating to social services or the provider.
Extract:
A practical nurse during labor
Question 5 of 5
The role of the practical nurse during labor includes all EXCEPT (Select All that Apply.)
Correct Answer: C
Rationale: Practical nurses (LPNs) monitor fetal heart rate, maternal vital signs, provide comfort measures, and assess coping but do not perform vaginal exams, which are done by RNs or providers.