ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
3800 gram newborn with meconium aspiration.
Question 1 of 5
A 3800 gram newborn was admitted to the neonatal intensive care unit at 39 weeks with meconium aspiration. Metoclopramide 0.1 mg/kg every 12 hours was started. On hand is Metoclopramide 0.5 mg/ml. What is the appropriate dose the RN will administer in ml in 12 hours?
Correct Answer: A
Rationale: Calculation: 3800 g = 3.8 kg; 3.8 kg x 0.1 mg/kg = 0.38 mg; 0.38 mg / 0.5 mg/mL = 0.76 mL.
Extract:
Client in active labor, 7 cm dilated, 100% effaced, 0 station, sudden urge to push.
Question 2 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 0 station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Quick shallow breathing manages the urge to push, preventing premature pushing and cervical injury.
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 3 of 5
A client with type 1 diabetes mellitus is seeking preconception counseling. She has a high glycosylated hemoglobin (HgbA1c). Before trying to become pregnant, she is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following?
Correct Answer: A
Rationale: High maternal glucose levels increase the risk of congenital heart defects in the fetus.
Extract:
Primigravida dilated to 5 cm, received epidural, feeling lightheaded, BP 80/52.
Question 4 of 5
A primigravida dilated to 5 cm has just received an epidural for pain. She complains of feeling lightheaded and dizzy within 10 minutes after the procedure. Her blood pressure before the procedure was 120/80 and is now 80/52. Which of the following medications is used in this situation?
Correct Answer: D
Rationale: Ephedrine treats epidural-induced hypotension by increasing blood pressure.
Extract:
Primigravida discussing labor and delivery during a prenatal visit.
Question 5 of 5
While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. The nurse's teaching was effective when the patient states that she will come when she:
Correct Answer: B
Rationale: Ruptured membranes signal potential labor onset or infection risk, necessitating hospital evaluation.