ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 36 weeks of gestation undergoing a nonstress test (NST)
Question 1 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:
A laboring client
Question 2 of 5
A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?
Correct Answer: D
Rationale: Incorporating cultural practices requires collaboration with the client to ensure safety for both mother and fetus, respecting her beliefs while prioritizing evidence-based care. Dismissing her preferences or deferring solely to the provider is not client-centered.
Extract:
A primigravida at 24 weeks gestation
Question 3 of 5
A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?
Correct Answer: B
Rationale: Fundal height in centimeters should roughly equal gestational age (±2 cm) after 20 weeks. At 24 weeks, a fundal height of 22-26 cm is normal. 26 cm is within this range, while 16 cm and 12 cm are too low, and 30 cm is too high, potentially indicating issues like IUGR or polyhydramnios.
Extract:
A 34-year-old gravida 3, para 2, experiencing severe back pain with contractions
Question 4 of 5
A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely uncomfortable and upset because she never had this type of pain with her other labors. What interventions are most likely to help in this situation?
Correct Answer: D
Rationale: Severe back pain during labor is often due to occiput posterior fetal positioning, causing pressure on the sacrum. Counterpressure directly to the lower back is the most effective intervention to alleviate this pain.
Extract:
A laboring patient with anxiety, vomiting, and need to have a bowel movement
Question 5 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.