ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client in labor with a tocodynamometer (TOCO) transducer
Question 1 of 5
A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The tocodynamometer (TOCO) measures the frequency and duration of uterine contractions but not their intensity, which requires an intrauterine pressure catheter. It does not monitor fetal heart rate.
Extract:
An adolescent
Question 2 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 who is 4 hr postpartum, uterus not firm
Question 3 of 5
A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)
Correct Answer: A,B
Rationale: A boggy (non-firm) uterus is abnormal and can lead to postpartum hemorrhage. Emptying the bladder relieves uterine displacement, and fundal massage stimulates contractions to firm the uterus. Doing nothing, ambulating, or giving pain meds does not address uterine atony.
Extract:
A client at 12 weeks of gestation
Question 4 of 5
A nurse is reinforcing teaching about expected gestational changes with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Nonprescription medications can be harmful in pregnancy and require provider approval. Monitoring weight, consulting about remedies, and reducing stress are appropriate actions.
Extract:
A client at 4 weeks postpartum
Question 5 of 5
A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?
Correct Answer: D
Rationale: Foul-smelling lochia (malodorous discharge) at 4 weeks postpartum suggests endometritis, requiring immediate provider attention. Decreased sexual response, lochia alba, and cramping during breastfeeding are normal.