ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client in labor
Question 1 of 5
A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?
Correct Answer: C
Rationale: Increased cardiac output during labor enhances placental blood flow, improving fetal oxygenation. Elevated blood pressure, decreased blood volume, or bradypnea could compromise oxygen delivery.
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 client 12 hr postpartum
Question 3 of 5
A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: At 12 hours postpartum, the fundus should be firm and at the umbilicus level, descending about 1 cm daily. A soft or deviated fundus indicates potential complications like atony or bladder distension.
Extract:
A postpartum client with large amount of lochia rubra and several clots
Question 4 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 39 weeks of gestation
Question 5 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.