ATI RN
ATI Nurs 140 exam Maternal Newborn Questions
Extract:
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side.
Question 1 of 5
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Correct Answer: D
Rationale: The right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus indicates a breech position, and the long, smooth surface on the right side suggests the fetal spine is on the same side, placing the fetal chest in the lower right quadrant.
Extract:
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation.
Question 2 of 5
A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?
Correct Answer: D
Rationale: At 22 weeks of gestation, the fundal height should be around 22 cm, which corresponds to slightly above the umbilicus, as fundal height typically matches gestational age in centimeters.
Extract:
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).
Question 3 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: B
Rationale: Initiating IV access is the priority to administer fluids and blood products to maintain blood pressure and perfusion, addressing potential hypovolemic shock from severe bleeding likely due to placenta previa.
Extract:
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? Baseline BP 140/85, current BP 129/80; Baseline BP 110/70, current BP 145/85; Baseline BP 120/80, current BP 126/85; Baseline BP 110/60, current BP 120/63.
Question 4 of 5
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?
Correct Answer: B
Rationale: An increase in BP from baseline by 30 mm Hg systolic or 15 mm Hg diastolic indicates a risk for pregnancy-induced hypertension. A current BP of 145/85 mm Hg from a baseline of 110/70 mm Hg shows a significant elevation, suggesting a risk for complications.
Extract:
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery.
Question 5 of 5
A nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. The nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine stimulates uterine contractions to reduce bleeding from the placental site, preventing postpartum hemorrhage.