Review Ati lpn ns 122 maternity exam

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Ati lpn ns 122 maternity exam

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Total Questions : 61

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Question 1:

A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

A. Fetal weight B. Fetal urine C. Fetal tone D. Fetal position E. Fetal movement F. Fetal breathing

Answer and Explanation

Choice A:

Fetal weight – Not included in a BPP; estimated fetal weight is assessed separately.

Choice B:

Fetal urine – Not a direct component of the BPP; however, amniotic fluid volume is assessed, which indirectly reflects fetal kidney function.

Choice C:

Fetal tone – Included in the BPP; assesses fetal flexion and extension.

Choice D:

Fetal position – Not part of the BPP; fetal positioning is evaluated in general obstetric ultrasounds.

Choice E:

Fetal movement – Included in the BPP; measures gross body movements as an indicator of fetal well-being.

Choice F:

Fetal breathing – Included in the BPP; evaluates fetal respiratory movements, which indicate neurological function.

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Question 2:

A 32-year-old female is currently 11 weeks pregnant. She has no living children. She reports that she had two miscarriages at 9 and 12 weeks gestation. What is her GTPAL

A. G3 TO PO A2 LO B. G3 TO PO A3 LO C. G3 T1 P2 A0 L4 D. G3 TI P2 AO LO

Answer and Explanation

Choice A:

G3 T0 P0 A2 L0 – Correct, as she has had three pregnancies (including the current one), no term or preterm births, two miscarriages, and no living children.

Choice B:

G3 T0 P0 A3 L0 – Incorrect, as she has had two miscarriages, not three.

Choice C:

G3 T1 P2 A0 L4 – Incorrect, as she has had no term or preterm births and no living children.

Choice D:

G3 T1 P2 A0 L0 – Incorrect, as she has had no term or preterm births.

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Question 3:

A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

A. Notify social services. B. Ask the parents what caused the bruises. C. Ask the toddler what caused the bruises. D. Notify the provider.

Answer and Explanation

Choice A:

Notify social services – Not the first action; the nurse must assess the situation before reporting.

Choice B:

Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.

Choice C:

Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.

Choice D:

Notify the provider – Appropriate but should come after assessing the situation.

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Question 4:

A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:

A. Quickening B. Ballottement C. Lightening D. Nesting

Answer and Explanation

Choice A:

Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.

Choice B:

Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.

Choice C:

Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.

Choice D:

Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.

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Question 5:

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

A. "It really doesn't matter exactly how much weight you gain, as long as your diet is healthy." B. "The recommendation for you is about 15 to 25 pounds." C. "You should gain 11 to 20 pounds." D. "A gain of about 25 to 35 pounds is best for you and for your baby."

Answer and Explanation

Choice A:

"It really doesn't matter exactly how much weight you gain, as long as your diet is healthy." – Incorrect; weight gain recommendations exist to reduce pregnancy complications.

Choice B:

"The recommendation for you is about 15 to 25 pounds." – Correct; a BMI of 26.5 falls into the overweight category, where the recommended weight gain is 15-25 lbs.

Choice C:

"You should gain 11 to 20 pounds." – Incorrect; this range applies to obese clients (BMI ≥30).

Choice D:

"A gain of about 25 to 35 pounds is best for you and for your baby." – Incorrect; this range applies to normal-weight clients (BMI 18.5-24.9).

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Question 6:

A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

A. At a non-palpable depth B. At the umbilicus C. 2 cm below the umbilicus D. Just above the symphysis pubis

Answer and Explanation

Choice A:

At a non-palpable depth – Incorrect; the fundus is still palpable in the immediate postpartum period.

Choice B:

At the umbilicus – Correct; at 8 hours postpartum, the fundus is typically at the level of the umbilicus.

Choice C:

2 cm below the umbilicus – Incorrect; the fundus begins to descend around 24 hours postpartum.

Choice D:

Just above the symphysis pubis – Incorrect; this occurs around day 10 postpartum.

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Question 7:

The germ layers of the embryo are: (Select all that apply.)

A. Endoderm B. Mesoderm C. Ectoderm D. Epidermis E. Hypodermis

Answer and Explanation

Choice A:

Endoderm – Correct; this layer develops into the gastrointestinal tract, liver, pancreas, and lungs.

Choice B:

Mesoderm – Correct; this layer forms the muscles, bones, heart, and blood vessels.

Choice C:

Ectoderm – Correct; this layer develops into the skin, nervous system, and sensory organs.

Choice D:

Epidermis – Incorrect; the epidermis is derived from the ectoderm, but it is not a germ layer itself.

Choice E:

Hypodermis – Incorrect; the hypodermis (subcutaneous tissue) is also not a germ layer.

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Question 8:

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?

A. Second stage, active phase B. First stage, active phase C. First stage, latent phase D. Second stage, latent phase

Answer and Explanation

Choice A:

Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.

Choice B:

First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.

Choice C:

First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.

Choice D:

Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.

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Question 9:

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."

Answer and Explanation

Choice A:

"There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." – Incorrect; this does not provide helpful education.

Choice B:

"No, it should only last until about your 12th week, but it will return near the end of the pregnancy." – Correct; urinary frequency occurs in the first trimester due to hormonal changes and again in the third trimester due to fetal pressure on the bladder.

Choice C:

"Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." – Incorrect; reducing fluid intake may cause dehydration.

Choice D:

"No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone." – Incorrect; bladder tone does not significantly affect this symptom.

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Question 10:

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?

A. Polyphagia B. Polydipsia C. Pica D. Polyuria

Answer and Explanation

Choice A:

Polyphagia – Incorrect; this refers to excessive hunger, not the consumption of nonfood items.

Choice B:

Polydipsia – Incorrect; this refers to excessive thirst, often linked to conditions like diabetes.

Choice C:

Pica – Correct; pica is the craving and consumption of non-nutritive substances (e.g., clay, ice, starch), which can lead to nutritional deficiencies.

Choice D:

Polyuria – Incorrect; this refers to excessive urination, not abnormal food cravings.

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Total Questions : 61

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Ati lpn ns 122 maternity exam

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