ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 7 weeks of gestation, reports urinary frequency
Question 1 of 5
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Urinary frequency in early pregnancy is due to hormonal changes and increased blood flow to the kidneys. It typically subsides after the first trimester (around 12 weeks) but returns in the third trimester due to fetal pressure on the bladder.
Extract:
A client at 39 weeks of gestation
Question 2 of 5
A client who is at 39 weeks of gestation tells the nurse, 'It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again.' The nurse should recognize that the client is experiencing the effects of which of the following?
Correct Answer: A
Rationale: Lightening occurs late in pregnancy when the fetus descends into the pelvis, relieving pressure on the diaphragm and making breathing easier.
Extract:
A client 14 hr postpartum, breasts soft, fundus firm slightly deviated to the right, moderate lochia rubra, temperature 37.7°C, pulse 88/min, respiratory rate 18/min
Question 3 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: A fundus deviated to the right suggests a full bladder, which can impede uterine involution. Emptying the bladder is the priority action. The temperature is normal, milk production starts later, and IV fluids are not indicated.
Extract:
A client at 7 cm cervical dilation, 100% effaced, fetus at 1 station, intact amniotic membranes, urge to push
Question 4 of 5
In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?
Correct Answer: B
Rationale: The first stage of labor includes latent (0-5 cm) and active (6-10 cm) phases. At 7 cm dilation with 100% effacement and an urge to push, the client is in the active phase of the first stage. The second stage begins at 10 cm dilation.
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.