ATI RN
ATI NUR270A Maternity Exam Questions
Extract:
Client with type 1 diabetes mellitus seeking preconception counseling with high HgbA1c.
Question 1 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:
Multiparous woman at 5 cm dilated, 50% effaced, 1+ station, with urge to have a bowel movement.
Question 2 of 5
The nurse is in the process of admitting a multiparous woman to labor and delivery from the triage area. One hour ago her vaginal exam was 5 cm dilated, 50% effaced, 1+ station. While completing your review of her prenatal record and completing the admission Questionnaire, she tells you she has an urge to have a bowel movement. The priority nursing intervention is to:
Correct Answer: D
Rationale: The urge to have a bowel movement suggests imminent delivery, requiring a vaginal exam to assess labor progress.
Extract:
34-year-old female, gravida 4, para 3, at 34 weeks gestation with chronic hypertension, headache, visual disturbances, abdominal discomfort.
Question 3 of 5
A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Complete the following sentence using the list of options. Sentence: The nurse should prioritize administering and monitoring for .
Correct Answer: A,B
Rationale: Magnesium sulfate prevents seizures in preeclampsia, and monitoring for toxicity ensures safety.
Extract:
Client in labor with contractions every 8-10 minutes, 3 cm dilated, 80% effaced, head -2 station.
Question 4 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:
Client in active labor, 7 cm dilated, 100% effaced, 0 station, sudden urge to push.
Question 5 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.