ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 12 weeks of gestation
Question 1 of 5
A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, 'What is a normal fetal heart rate?' Which of the following ranges should the nurse provide?
Correct Answer: D
Rationale: The normal fetal heart rate (FHR) throughout pregnancy is 110-160 bpm. Rates outside this range may indicate distress or require further evaluation.
Extract:
An infant with 2-day history of vomiting and elevated temperature
Question 2 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:
A woman calling labor and delivery unit stating she is in labor
Question 3 of 5
A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)
Correct Answer: A,C,E
Rationale: True labor is characterized by bloody show (cervical dilation), persistent contractions despite activity changes, and increasing frequency/intensity of contractions. Fever/chills and decreased fetal movement require evaluation but do not confirm true labor.
Extract:
A client in labor
Question 4 of 5
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?
Correct Answer: B
Rationale: The second stage of labor begins when the cervix is fully dilated (10 cm), allowing pushing and delivery. Regular contractions and membrane rupture occur in earlier stages.
Extract:
A client at risk of neural tube defect in newborn
Question 5 of 5
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid intake (400-800 mcg daily) before and during early pregnancy significantly reduces the risk of neural tube defects like spina bifida. Aspirin, alcohol, and iron are not directly linked to preventing neural tube defects.