ATI RN
ATI Maternity Exam 2 Questions
Extract:
A client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding, fetal heart rate of 138/min, no uterine contractions, blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, temperature 36.4°C (97.6°F).
Question 1 of 5
A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4°C (97.6°F). Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Initiating IV access is critical to manage hypovolemia and prepare for potential emergency interventions in suspected placenta previa.
Extract:
A pregnant woman who has experienced a bleeding episode in late pregnancy.
Question 2 of 5
The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is:
Correct Answer: B
Rationale: Assessing FHR and maternal vital signs is critical to evaluate the severity of bleeding and guide urgent interventions.
Extract:
A woman who is 8 months pregnant is brought to the emergency department after a serious motor vehicle crash.
Question 3 of 5
Although she has no apparent injuries, she is admitted to the hospital for observation for which complication?
Correct Answer: D
Rationale: Abruptio placentae is a life-threatening condition triggered by trauma, causing placental separation, which requires immediate observation due to risks of severe bleeding and fetal distress.
Extract:
A baby is grunting in the neonatal nursery.
Question 4 of 5
A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropriate?
Correct Answer: D
Rationale: Grunting indicates respiratory distress, making assessment of the respiratory rate critical to determine severity and guide intervention.
Extract:
Newborns classified as small for gestational age (SGA).
Question 5 of 5
Which is true about newborns classified as small for gestational age (SGA)?
Correct Answer: D
Rationale: SGA newborns are defined as those below the 10th percentile on gestational growth charts for their gestational age, reflecting lower than expected weight or length.