ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
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 1 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:
During preconception counseling regarding teratogen effects in first 8 weeks.
Question 2 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 being assessed for breast cancer risk.
Question 3 of 5
A nurse is assessing a client's risk of breast cancer. Which of the following would not be included in the education about risks?
Correct Answer: D
Rationale: Age less than 25 years is not a risk factor for breast cancer, as risk increases with age, unlike family history, radiation exposure, or oral contraceptive use.
Extract:
38-year-old multigravida at 36 weeks, BP 140/90, pulse 80, respiratory rate 16, suspected preeclampsia.
Question 4 of 5
A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation. Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min. The nurse suspects preeclampsia. What additional finding would the nurse assess for?
Correct Answer: C
Rationale: Proteinuria is a key diagnostic criterion for preeclampsia, indicating kidney involvement alongside elevated blood pressure.
Extract:
Client in labor at 39 weeks, maternal BP 128/88, FHR baseline 115 bpm, maternal heart rate 128 bpm, maternal respiratory rate 18/min.
Question 5 of 5
A nurse is caring for a client in labor at 39 weeks of gestation. Which of the following assessment findings requires follow-up?
Correct Answer: C
Rationale: A maternal heart rate of 128 bpm indicates tachycardia, which may suggest distress, infection, or dehydration, requiring follow-up.