ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is in her first trimester of pregnancy
Question 1 of 5
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she and her husband planned this pregnancy, she has been having many doubts and second thoughts about the upcoming changes in her life. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Validating ambivalent feelings as common normalizes the client's emotions. Dismissing concerns, suggesting counseling prematurely, or assuming family discussions are unhelpful.
Extract:
A patient experiencing fetal heart rate decelerations with an ordered amnioinfusion.
Question 2 of 5
The patient is having fetal heart rate decelerations. An amnioinfusion has been ordered for the patient to alleviate the decelerations. The nurse understands that the type of decelerations that will be alleviated by amnioinfusion is:
Correct Answer: C
Rationale: Amnioinfusion relieves variable decelerations by cushioning the umbilical cord, reducing compression, unlike late or early decelerations which have different causes.
Extract:
A client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2015
Question 3 of 5
A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2015. The nurse uses Naegele's Rule to calculate the correct EDD:
Correct Answer: D
Rationale: Naegele's Rule: Add 7 days to May 4, 2015 (May 11), subtract 3 months (February 11, 2016). Other dates misapply the rule.
Extract:
A pregnant woman with a pigmented vertical line between the umbilicus and pubis.
Question 4 of 5
Assessment of a pregnant woman reveals a pigmented vertical line between the umbilicus and the pubis. The nurse documents this finding as:
Correct Answer: B
Rationale: Linea nigra is the pigmented abdominal line caused by melanin in pregnancy, unlike vascular, facial, or stretch mark changes.
Extract:
A client who is in active labor and notes late decelerations in the FHR
Question 5 of 5
A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Left lateral positioning improves uteroplacental blood flow to address late decelerations from insufficiency. Oxygen, scalp electrodes, and IV fluids are secondary steps.