ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A primigravida with painful irregular contractions since 2000, admitted at 0400, cervical finding fingertip and 50% effaced
Question 1 of 5
A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.
Correct Answer: C
Rationale: For prodromal labor with no cervical progression, a sedative like a barbiturate is used for therapeutic rest to promote sleep. Misoprostol and oxytocin induce labor, and fentanyl is for pain, not rest.
Question 2 of 5
A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.
Correct Answer: C
Rationale: For prodromal labor with no cervical progression, a sedative like a barbiturate is used for therapeutic rest to promote sleep. Misoprostol and oxytocin induce labor, and fentanyl is for pain, not rest.
Extract:
Embryo development
Question 3 of 5
The germ layers of the embryo are: (Select all that apply.)
Correct Answer: A,B,C
Rationale: The three germ layers of the embryo are endoderm (forms gastrointestinal tract, lungs), mesoderm (forms muscles, bones, heart), and ectoderm (forms skin, nervous system). Epidermis and hypodermis are derived from ectoderm but are not germ layers.
Extract:
A client in labor
Question 4 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 2-year-old child hospitalized, throwing a tantrum when parent leaves
Question 5 of 5
A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?
Correct Answer: C
Rationale: A stuffed animal acts as a transitional object, providing comfort and reducing separation anxiety in a 2-year-old, more effectively than books, active toys, or blocks.