ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client in labor with contractions every 8-10 minutes, 3 cm dilated, 80% effaced, head -2 station.
Question 1 of 5
A client arrives in labor and delivery having contractions every 8-10 minutes, lasting 30 seconds, and palpated as hard. Fetal heart rate is 124-138 with good variability. Maternal vital signs are 98.4°F temp, HR 88, RR 20, BP 112/64. Membranes are intact and vaginal exam reveals: cervix is 80% effaced, 3 cm dilated, head -2 station. The nurse knows that the patient is in which stage of labor?
Correct Answer: D
Rationale: Cervical dilation of 3 cm and 80% effacement indicate the latent phase of the first stage of labor.
Extract:
Question 2 of 5
The nurse knows that the third stage of labor has a high risk for which of the following complications?
Correct Answer: D
Rationale: Incomplete placental delivery can cause postpartum hemorrhage, a primary concern in the third stage.
Extract:
Client in premature labor receiving terbutaline.
Question 3 of 5
A nurse is caring for a client who is in premature labor and is receiving terbutaline. The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Correct Answer: A
Rationale: Dyspnea indicates potential respiratory complications from terbutaline, requiring immediate reporting.
Extract:
Client in labor, 2 cm dilated, 60% effaced, -2 station.
Question 4 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:
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.