ATI LPN
ATI LPN n105t Maternal Newborn Exam Questions
Extract:
A client who is in labor
Question 1 of 5
A nurse is assisting with the care of a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?
Correct Answer: A
Rationale: Massaging the client's back activates larger nerve fibers, blocking pain signals to the brain, which aligns with the gate control theory.
Extract:
A laboring woman
Question 2 of 5
What does the nurse note when measuring the frequency of a laboring woman's contractions?
Correct Answer: D
Rationale: This is the standard way to measure contraction frequency.
Extract:
A client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1.
Question 3 of 5
A nurse is assisting in the care of a client who is in labor. The nurse evaluates this documentation to mean which of the following?
Correct Answer: D
Rationale: The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm below the ischial spines: This interpretation is accurate, matching the documented findings.
Extract:
Gravida 4 Para 3, 31 weeks of gestation, client reports cramping and low back pain that started last night, FHTs 140 beats/min, Vital Signs: Temperature 36.8°C (98.2°F), Heart rate 88 bpm, Respiratory rate 18 breaths/min, Blood pressure 118/78 mmHg, Oxygen saturation 99% on room air, Uterine contractions noted every 10 minutes lasting 30 seconds
Question 4 of 5
The nurse is contacting the provider regarding the client's status. Which of the following findings should the nurse include in the report? Select the 4 findings that the nurse should report
Correct Answer: A,C,E,F
Rationale: A: The client is 31 weeks of gestation, which is preterm, critical for determining preterm labor risk. C: Contractions every 10 minutes lasting 30 seconds suggest preterm labor. E: Cramping and low back pain indicate potential preterm labor. F: FHR of 140 bpm is normal but necessary for monitoring fetal status.
Extract:
Question 5 of 5
What is the least amount of sensation that one perceives as pain?
Correct Answer: D
Rationale: The lowest intensity at which a person perceives a stimulus as painful.