ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at first prenatal appointment, first day of last menstrual period was September 17
Question 1 of 5
A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?
Correct Answer: A
Rationale: Using Naegele's rule (LMP + 1 year - 3 months + 7 days), September 17 becomes: September 17 next year, subtract 3 months = June 17, add 7 days = June 24.
Extract:
Measuring uterine contractions
Question 2 of 5
How is the frequency of uterine contractions measured?
Correct Answer: A
Rationale: Frequency of contractions is measured from the start of one contraction to the start of the next, indicating how often contractions occur.
Extract:
A client at 4 weeks postpartum
Question 3 of 5
A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?
Correct Answer: D
Rationale: Foul-smelling lochia (malodorous discharge) at 4 weeks postpartum suggests endometritis, requiring immediate provider attention. Decreased sexual response, lochia alba, and cramping during breastfeeding are normal.
Extract:
A woman calling labor and delivery unit stating she is in labor
Question 4 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 laboring client
Question 5 of 5
A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Pain assessment includes quality (e.g., sharp, dull), location (e.g., abdomen, back), and intensity (e.g., pain scale). Allergies, family history, and blood pressure are not directly related to pain perception.