ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
An infant with 2-day history of vomiting and elevated temperature
Question 1 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: A
Rationale: Body weight is the most reliable indicator of fluid loss in infants, as even small weight changes reflect significant dehydration due to their high water content.
Extract:
Pregnancy signs
Question 2 of 5
Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)
Correct Answer: C,E
Rationale: Presumptive signs are subjective and include quickening, amenorrhea, and increased urination. Ballottement (detected by a provider) and a positive pregnancy test (objective) are probable signs, not presumptive.
Extract:
A client in labor
Question 3 of 5
A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?
Correct Answer: C
Rationale: Increased cardiac output during labor enhances placental blood flow, improving fetal oxygenation. Elevated blood pressure, decreased blood volume, or bradypnea could compromise oxygen delivery.
Extract:
A 30-year-old primigravida, 18 weeks pregnant, feeling fluttering in her lower abdomen
Question 4 of 5
A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
Correct Answer: A
Rationale: Quickening is the first sensation of fetal movement, typically felt between 16-20 weeks, especially in primigravidas. Ballottement is a physical exam finding, lightening occurs later when the fetus drops into the pelvis, and nesting is a pre-labor energy surge.
Extract:
A client at 21 weeks of gestation, scheduled for an international flight
Question 5 of 5
A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Pregnant women on long flights are at risk for swelling and deep vein thrombosis (DVT). Avoiding prolonged sitting, wearing compression stockings, and frequent walking/leg exercises reduce these risks. Seat belts should be worn low across the hips for safety, and electronic device radiation is negligible. High-dose vitamin C lacks evidence for preventing illness during flights.