ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client at 38 weeks pregnant monitored for pre-eclampsia with sudden continuous abdominal pain and vaginal bleeding.
Question 1 of 5
A client who is 38 weeks pregnant is being monitored for pre-eclampsia. She suddenly complains of continuous abdominal pain and vaginal bleeding. Which of the following nursing interventions should not be included in the care of this client?
Correct Answer: A
Rationale: Reassuring vaginal delivery is inappropriate as complications like placental abruption may require cesarean delivery.
Extract:
Client at 38 weeks gestation with ruptured membranes, clear and odorless amniotic fluid.
Question 2 of 5
A nurse admits a woman who is 38 weeks gestation and has ruptured membranes. The nurse determines that the amniotic fluid is clear and odorless. Besides notifying the provider, which of the following is the appropriate first nursing action?
Correct Answer: D
Rationale: Checking temperature every 2 hours monitors for infection, a risk after membrane rupture.
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 discussing labor and delivery during a prenatal visit.
Question 4 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.
Extract:
Fetus with occiput facing left maternal spine, mother with back labor pain.
Question 5 of 5
Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine. The mother is complaining of increased back labor pain. The nurse knows that the fetus is in which position?
Correct Answer: C
Rationale: Left occiput posterior position causes back labor pain due to the occiput pressing against the maternal spine.