ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client at 7 cm cervical dilation, 100% effaced, fetus at 1 station, intact amniotic membranes, urge to push
Question 1 of 5
In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?
Correct Answer: B
Rationale: The first stage of labor includes latent (0-5 cm) and active (6-10 cm) phases. At 7 cm dilation with 100% effacement and an urge to push, the client is in the active phase of the first stage. The second stage begins at 10 cm dilation.
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 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:
Embryo development
Question 4 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 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.