ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client in latent labor
Question 1 of 5
A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?
Correct Answer: A
Rationale: Gate control theory posits that non-painful stimuli (e.g., massage) can block pain signals. Massaging the back applies this principle, unlike medication, repositioning, or rest.
Extract:
A client who is 4 hr postpartum, uterus not firm
Question 2 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 laboring client
Question 3 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 pediatric patient with weight-based medication
Question 4 of 5
A medication is prescribed based on a pediatric patient's weight. What should the nurse consider when calculating the dosage?
Correct Answer: B
Rationale: Pediatric medication doses are calculated based on weight (mg/kg). The nurse must ensure the dose falls within the safe dosage range to avoid under- or overdosing.
Extract:
A client at 12 weeks of gestation with heartburn
Question 5 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heartburn in early pregnancy is primarily due to increased progesterone, which relaxes smooth muscles, including the lower esophageal sphincter, allowing acid reflux. Uterine pressure is more significant later in pregnancy.