ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A primigravida at 24 weeks gestation
Question 1 of 5
A primigravida at 24 weeks gestation is at a subsequent prenatal visit. Which finding below is a normal fundal height measurement?
Correct Answer: B
Rationale: Fundal height in centimeters should roughly equal gestational age (±2 cm) after 20 weeks. At 24 weeks, a fundal height of 22-26 cm is normal. 26 cm is within this range, while 16 cm and 12 cm are too low, and 30 cm is too high, potentially indicating issues like IUGR or polyhydramnios.
Extract:
Teaching about amniotic fluid function
Question 2 of 5
A nurse is teaching students about the function of the amniotic fluid. Which of the following statements by the students shows effective teaching? (Select All that Apply.)
Correct Answer: B,D,E
Rationale: Amniotic fluid regulates fetal temperature, cushions/protects the fetus, and allows free movement for symmetric growth. It does not produce hormones, aid digestion, or regulate fetal heart rate.
Extract:
A 37-year-old female, 18 weeks pregnant, two sets of twins born at 37 and 38 weeks, a 9-year-old son born at 34 weeks, no miscarriages or abortions
Question 3 of 5
A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 недель and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?
Correct Answer: A
Rationale: GTPAL: Gravidity (4: current + 3 prior pregnancies), Term (2: twins at 37 and 38 weeks), Preterm (1: son at 34 weeks), Abortions (0), Living children (5: 4 twins + 1 son). G4 T2 P1 A0 L5 is correct.
Extract:
A client in labor with a tocodynamometer (TOCO) transducer
Question 4 of 5
A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The tocodynamometer (TOCO) measures the frequency and duration of uterine contractions but not their intensity, which requires an intrauterine pressure catheter. It does not monitor fetal heart rate.
Extract:
A client at risk of neural tube defect in newborn
Question 5 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.