ATI RN
ATI OB Obstetrics RN 300 Exam Questions
Extract:
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Question 1 of 5
Which of the following is an expected finding?
Correct Answer: A
Rationale: The correct answer is A: Report of headache. This is an expected finding because headache is a common symptom associated with various health conditions. It is important to assess and address any reports of headache to determine the underlying cause. Absence of clonus (
B) is not typically an expected finding and may indicate a neurological issue. Tachycardia (
C) and polyuria (
D) are symptoms that can be expected in certain medical conditions, but they are not always present and should be further evaluated.
Extract:
A nurse is caring for a group of clients on an intrapartum unit.
Question 2 of 5
Which of the following findings should be reported to the provider immediately?
Correct Answer: C
Rationale: The correct answer is C. In preeclampsia, epigastric pain and unresolved headache can indicate severe complications like HELLP syndrome or eclampsia, which require immediate provider notification for timely intervention to prevent maternal and fetal harm. Reporting fine tremors in a client receiving terbutaline (choice
A) is important but not as urgent as the symptoms in choice C. Proteinuria and patellar reflexes in preeclampsia (choice
B) are concerning but not as indicative of immediate life-threatening complications. Tearful client with irregular contractions at 32 weeks (choice
D) may indicate preterm labor but is not as critical as the symptoms in choice C.
Extract:
When interpreting fetal heart rate patterns.
Question 3 of 5
What other information is considered in addition to baseline and variability?
Correct Answer: C
Rationale: The correct answer is C: Uterine contractions. In addition to baseline and variability, uterine contractions are crucial to assess fetal well-being during labor. Monitoring the frequency, duration, and intensity of contractions helps determine if the fetus is tolerating labor. Maternal heart rate (
A) is important for assessing maternal well-being but does not directly impact fetal monitoring. Gestational age (
B) is significant for determining fetal development but is not directly related to intrapartum fetal monitoring. Presence of accelerations and decelerations (
D) is part of the assessment of fetal heart rate patterns but is not the primary consideration in addition to baseline and variability.
Extract:
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia.
Question 4 of 5
Which of the following clinical findings is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Urinary output 40 mL in 2 hr. This is the nurse's priority as it indicates potential renal impairment or inadequate perfusion, necessitating immediate intervention to prevent further complications. A decreased urinary output can lead to electrolyte imbalances, fluid overload, and organ damage. Monitoring and addressing urinary output promptly is crucial in maintaining homeostasis.
The other choices are less critical:
B: Fetal heart rate 158/min - important for monitoring fetal well-being but not the priority in this scenario.
C: Reflexes +2 - a normal finding and not urgent.
D: Respirations 16/min - within normal range and does not require immediate attention.
Extract:
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Place the client in the lateral position. This is the first action the nurse should take in a client experiencing a potential airway obstruction or compromised respiratory status. Placing the client in the lateral position helps maintain a clear airway and facilitates breathing. Elevating the legs (choice
C) is not appropriate in this situation. Increasing the rate of IV infusion (choice
A) may not address the immediate respiratory concern. Administering oxygen using a nonrebreather mask (choice
B) can be important but placing the client in the lateral position takes priority in this case.