ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client who is 8 hr postpartum
Question 1 of 5
A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?
Correct Answer: B
Rationale: At 8 hours postpartum, the uterus is still enlarged, and the fundus is typically palpable at the level of the umbilicus. It begins to descend about 1 cm per day after 24 hours, reaching the symphysis pubis by around day 10.
Extract:
A pregnant client with first day of last menstrual period on April 10th
Question 2 of 5
A pregnant client's first day of her last menstrual period was April Sexual intercourse does not increase your risk of pregnancy complications. To reduce the risk of neural tube defects, take a vitamin with folic acid before and during pregnancy. Using Naegele's rule, what is the estimated date of delivery?
Correct Answer: B
Rationale: Using Naegele's rule (LMP + 1 year - 3 months + 7 days), if the first day of the last menstrual period is April 10th, the estimated date of delivery is calculated as: April 10th + 1 year = April 10th next year, subtract 3 months = January 10th, add 7 days = January 17th.
Extract:
A 30-year-old primigravida, 18 weeks pregnant, feeling fluttering in her lower abdomen
Question 3 of 5
A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
Correct Answer: A
Rationale: Quickening is the first sensation of fetal movement, typically felt between 16-20 weeks, especially in primigravidas. Ballottement is a physical exam finding, lightening occurs later when the fetus drops into the pelvis, and nesting is a pre-labor energy surge.
Extract:
A client at 21 weeks of gestation, scheduled for an international flight
Question 4 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.
Extract:
A postpartum client with large amount of lochia rubra and several clots
Question 5 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.