ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A pregnant client with first day of last menstrual period on April 10th
Question 1 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 at 39 weeks in labor, third pregnancy, early miscarriage at 8 weeks, stillborn at 36 weeks
Question 2 of 5
A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?
Correct Answer: D
Rationale: GTPAL: Gravidity (3 pregnancies: current, miscarriage, stillborn), Term (0 births ≥37 weeks), Preterm (1 stillborn at 36 weeks), Abortions (1 miscarriage at 8 weeks), Living children (0, as stillborn is not counted as living). Thus, G3 T0 P1 A1 L0 is correct.
Extract:
A client at risk of neural tube defect in newborn
Question 3 of 5
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Folic acid intake (400-800 mcg daily) before and during early pregnancy significantly reduces the risk of neural tube defects like spina bifida. Aspirin, alcohol, and iron are not directly linked to preventing neural tube defects.
Extract:
A client at 12 weeks of gestation with heartburn
Question 4 of 5
A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Heartburn in early pregnancy is primarily due to increased progesterone, which relaxes smooth muscles, including the lower esophageal sphincter, allowing acid reflux. Uterine pressure is more significant later in pregnancy.
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.