ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 1 of 5
A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse. How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
Correct Answer: B
Rationale: 2 cm dilation, 60% effacement, and -2 station indicate the fetus is 2 cm above the ischial spines.
Extract:
Question 2 of 5
The RN interprets the following external fetal monitoring strip as:
Correct Answer: C
Rationale: Umbilical cord prolapse is indicated by sudden severe variable decelerations, requiring urgent intervention to prevent fetal hypoxia.
Question 3 of 5
The nurse is contacting the provider regarding the client's status. Which of the following findings should the nurse report to the provider? Select the 4 findings the nurse should report:
Correct Answer: A,B,C,D
Rationale: Gestational age, vaginal exam, contractions, and blood pressure are critical for assessing labor progress and maternal-fetal well-being.
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 4 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:
Newborn weighing 4300 grams receiving ampicillin.
Question 5 of 5
A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose?
Correct Answer: A
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg/kg = 8.6 mg; 8.6 mg / 20 mg/mL = 0.43 mL.