ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A client who is pregnant
Question 1 of 5
The ingestion of nonfood substances during pregnancy that can lead to iron deficiency anemia and other nutritional deficiencies and requires follow-up is known as?
Correct Answer: C
Rationale: Pica is the craving and consumption of non-nutritive substances like clay or ice, which can lead to nutritional deficiencies such as iron deficiency anemia. Polyphagia (excessive hunger), polydipsia (excessive thirst), and polyuria (excessive urination) are unrelated to nonfood ingestion.
Extract:
A primigravida with painful irregular contractions since 2000, admitted at 0400, cervical finding fingertip and 50% effaced
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:
A client 14 hr postpartum, breasts soft, fundus firm slightly deviated to the right, moderate lochia rubra, temperature 37.7°C, pulse 88/min, respiratory rate 18/min
Question 3 of 5
A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F), pulse rate 88./min, respiratory rate 18/min. Which of the following actions should the nurse perform?
Correct Answer: D
Rationale: A fundus deviated to the right suggests a full bladder, which can impede uterine involution. Emptying the bladder is the priority action. The temperature is normal, milk production starts later, and IV fluids are not indicated.
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 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.