ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
The nurse is performing a nonstress test. What result indicates a reactive test?
Correct Answer: B
Rationale: The correct answer is B because two accelerations in 20 minutes are indicative of a reactive nonstress test. This pattern suggests that the fetal heart rate is reacting appropriately to fetal movement, indicating good oxygenation and neurologic integrity. Choice A is incorrect as fetal movements are essential for the test. Choice C is incorrect as a baseline heart rate of 170 bpm is considered high. Choice D is incorrect as variable decelerations are concerning for fetal distress.
Question 2 of 5
A client at 35 weeks' gestation reports sharp abdominal pain and vaginal bleeding. What condition should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Abruptio placentae. This condition presents with sharp abdominal pain and vaginal bleeding, typically occurring in the third trimester. It is caused by the premature separation of the placenta from the uterine wall. The pain is often severe due to the bleeding and can lead to fetal distress. Placenta previa (A) presents with painless vaginal bleeding, preterm labor (C) typically involves regular contractions and cervical changes, and chorioamnionitis (D) is characterized by fever and uterine tenderness.
Question 3 of 5
A client at 37 weeks' gestation reports swollen feet and hands. What assessment finding requires immediate intervention?
Correct Answer: A
Rationale: The correct answer is A: Blood pressure of 150/95 mmHg. This finding indicates gestational hypertension, which can progress to preeclampsia, a serious condition that requires immediate intervention to prevent complications for both the mother and baby. High blood pressure can lead to organ damage and placental insufficiency. B: Weight gain of 1 pound in a week is within the normal range for late pregnancy and may not require immediate intervention. C: Mild nausea after eating is a common pregnancy symptom and does not indicate an urgent issue. D: Regular fetal movements are a positive sign of fetal well-being and do not require immediate intervention.
Question 4 of 5
The nurse is preparing a client for a biophysical profile (BPP). What does this test evaluate?
Correct Answer: C
Rationale: The correct answer is C: Fetal well-being, including movements and amniotic fluid. A Biophysical Profile evaluates the fetus' health by assessing factors like fetal movements, muscle tone, breathing movements, amniotic fluid volume, and fetal heart rate patterns. This test provides valuable information about the fetus' well-being and helps in determining the need for interventions or further monitoring. Explanation of why the other choices are incorrect: A: Maternal blood flow to the placenta is not evaluated by a Biophysical Profile. B: Fetal genetic abnormalities are not assessed through a BPP; it focuses on the fetus' current well-being. D: Cervical dilation and effacement are related to labor progress and not part of a BPP, which focuses on fetal well-being.
Question 5 of 5
A client at 37 weeks' gestation reports severe itching without a rash. What condition should the nurse suspect?
Correct Answer: B
Rationale: The correct answer is B: Cholestasis of pregnancy. Severe itching without a rash in a pregnant client at 37 weeks' gestation is concerning for cholestasis of pregnancy, a condition characterized by impaired bile flow. This can lead to elevated bile acids, causing itching. Preeclampsia (choice A) presents with hypertension and proteinuria. Gestational diabetes (choice C) manifests with high blood sugar levels. Fungal infection (choice D) typically presents with visible skin changes like a rash, which is absent in this case. In summary, cholestasis of pregnancy is the most likely explanation for severe itching in this scenario.