ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client's last menstrual period began on October 17.
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB?
Correct Answer: B
Rationale: Using Naegele's rule: October 17 + 7 days - 3 months + 1 year = July 24 (0724).
Extract:
Client in second trimester, rubella non-immune.
Question 2 of 5
A nurse is caring for a client during the second trimester of pregnancy. After reviewing the client's blood work, the nurse notes the client is rubella non-immune. When should the client be offered the rubella immunization?
Correct Answer: D
Rationale: Rubella vaccine, a live virus, is contraindicated during pregnancy and should be administered postpartum to ensure immunity before future pregnancies.
Extract:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 3 of 5
During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens. What is occurring during the first 8 weeks of gestation?
Correct Answer: C
Rationale: Organogenesis, the formation of major organs between weeks 3-8, is when the fetus is most vulnerable to teratogens, causing congenital anomalies.
Extract:
Client at 6 weeks gestation with chronic hypertension and gestational diabetes, reports decreased fetal movement, FHR 120 bpm, absent variability, no accelerations, recurrent late decelerations.
Question 4 of 5
A client arrives at OB triage with complaints of decreased fetal movement for the past 24 hours. The client states, 'I see the high-risk clinic because I have chronic hypertension and gestational diabetes.' The nurse applies the external fetal monitors and identifies a fetal heart rate baseline of 120 bpm, absent variability, no accelerations, and recurrent late decelerations. What fetal heart rate category would the nurse communicate to the provider?
Correct Answer: C
Rationale: Category 3 indicates abnormal FHR patterns with absent variability and recurrent late decelerations, suggesting potential fetal hypoxia.
Extract:
Client in labor, B Rh-negative, uterine tenderness, variable FHR decelerations, BP 130/82, temperature 37.7°C.
Question 5 of 5
A nurse is caring for a female client in labor in the labor and delivery unit. Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.
Correct Answer: A
Rationale: Variable decelerations and uterine tenderness suggest umbilical cord compression, requiring position changes and continuous fetal monitoring.