ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client who is pregnant
Question 1 of 5
A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)
Correct Answer: C,E,F
Rationale: A biophysical profile (BPP) assesses fetal well-being through ultrasound and includes fetal tone (flexion/extension), fetal movement (gross body movements), fetal breathing (respiratory movements), amniotic fluid volume, and nonstress test results. Fetal weight and position are evaluated separately, and fetal urine indirectly contributes to amniotic fluid volume but is not a direct component.
Extract:
A laboring client
Question 2 of 5
A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?
Correct Answer: D
Rationale: Incorporating cultural practices requires collaboration with the client to ensure safety for both mother and fetus, respecting her beliefs while prioritizing evidence-based care. Dismissing her preferences or deferring solely to the provider is not client-centered.
Extract:
A client at 39 weeks of gestation
Question 3 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 client at first prenatal appointment, first day of last menstrual period was September 17
Question 4 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:
Pregnancy signs
Question 5 of 5
Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)
Correct Answer: C,E
Rationale: Presumptive signs are subjective and include quickening, amenorrhea, and increased urination. Ballottement (detected by a provider) and a positive pregnancy test (objective) are probable signs, not presumptive.