ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 7 weeks of gestation
Question 1 of 5
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Urinary frequency occurs in the first trimester due to hormonal changes and late pregnancy from uterine pressure. Dismissing it, unpredictability, or blaming bladder tone are incorrect.
Extract:
A laboring client given narcotic analgesia at 10:00 a.m. with delivery at 10:35 a.m.
Question 2 of 5
Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 10:35 A.M. The nurse would anticipate that the narcotic analgesia could:
Correct Answer: C
Rationale: Narcotics given close to delivery can cross the placenta, causing neonatal respiratory depression due to limited clearance time, unlike the other incorrect effects.
Extract:
A patient who is having induction of labor with oxytocin administered through a secondary IV line
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/minute, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Discontinuing oxytocin stops uterine hyperstimulation, indicated by frequent, prolonged contractions and late decelerations, to prevent fetal hypoxia. Increasing oxytocin worsens distress, IV fluid rate doesn't address the issue, and breathing rate is unrelated.
Extract:
A client who is at 18 weeks of gestation
Question 4 of 5
A nurse is teaching a client who is at 18 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following?
Correct Answer: B,E
Rationale: Amniocentesis primarily detects chromosomal anomalies and can screen for neural tube defects. Gender may be noted, but Rh incompatibility and cephalopelvic disproportion are assessed differently.
Extract:
A client who is at 22 weeks of gestation
Question 5 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: C
Rationale: At 22 weeks, the fundus is approximately 2 cm above the umbilicus, aligning with gestational age progression. Other locations are incorrect for this stage.