ATI LPN
ATI LPN NS 122 Maternity Exam Questions
Extract:
A hospitalized child
Question 1 of 5
When a child is hospitalized, which of the following would be an example of regression?
Correct Answer: B
Rationale: Regression is a return to earlier developmental behaviors due to stress, such as thumb-sucking in a hospitalized child. New interests, independence, or increased appetite are not regression.
Extract:
A 32-year-old woman, 4 cm dilated, roomy pelvis, baby in ROA position at +1 station, contractions every 10 minutes, 30-40 seconds, mild intensity
Question 2 of 5
A 32-year-old woman is dilated 4 cm. The health care provider states that she has a roomy pelvis and the baby is in a right occiput anterior (ROA) position at +1 station. Her contractions are occurring every 10 minutes, lasting 30 to 40 seconds, and palpate mild in intensity. She is calm and relaxed. Given these data, which essential component of labor is unexpected and likely to slow the progress of labor at this time?
Correct Answer: B
Rationale: The 'powers' (uterine contractions) are infrequent, short, and mild, which may slow labor progression. The passageway (roomy pelvis), psyche (calm), and passenger (optimal position) are favorable.
Extract:
A client requesting non-pharmacological pain management
Question 3 of 5
A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?
Correct Answer: C
Rationale: Acupuncture requires specialized training and certification. Counterpressure, cold therapy, and effleurage are techniques nurses can perform without additional certification.
Extract:
A laboring client
Question 4 of 5
A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Pain assessment includes quality (e.g., sharp, dull), location (e.g., abdomen, back), and intensity (e.g., pain scale). Allergies, family history, and blood pressure are not directly related to pain perception.
Extract:
A client in labor
Question 5 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.