ATI LPN
ATI LPN NS 122 Maternity Exam Questions
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 1 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 postpartum client with large amount of lochia rubra and several clots
Question 2 of 5
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Excessive lochia rubra with clots suggests postpartum hemorrhage, often due to uterine atony. Checking the fundus for firmness is the first action, as a boggy uterus requires immediate intervention like massage.
Extract:
A client at 7 weeks of gestation, reports urinary frequency
Question 3 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 4 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 primigravida at 24 weeks gestation
Question 5 of 5
A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?
Correct Answer: B
Rationale: Fundal height in centimeters should roughly equal gestational age (±2 cm) after 20 weeks. At 24 weeks, a fundal height of 22-26 cm is normal. 26 cm is within this range, while 16 cm and 12 cm are too low, and 30 cm is too high, potentially indicating issues like IUGR or polyhydramnios.