ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is at 28 weeks of gestation
Question 1 of 5
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
Correct Answer: C
Rationale: GTPAL: Gravida 4 (current, twins, two abortions), Term 0, Preterm 1 (twins at 36 weeks), Abortions 2 (9 and 15 weeks), Living 2 (twins). Thus, 4-0-1-2-2.
Extract:
A woman at 32 weeks' gestation with a fundal height measurement of 26 centimeters.
Question 2 of 5
A woman is at 32 weeks' gestation. Her fundal height measurement at this clinic appointment is 26 centimeters. After reviewing her ultrasound results, the health care provider asks the nurse to schedule the client for a series of ultrasounds to be done every 2 weeks. The nurse should ensure that the client understands that the main purpose for this is to:
Correct Answer: D
Rationale: A smaller-than-expected fundal height suggests possible growth restriction, necessitating ultrasounds to monitor fetal growth, unlike the other options which are less relevant.
Extract:
A client who smokes one pack of cigarettes per day at 6 weeks of gestation
Question 3 of 5
A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications?
Correct Answer: D
Rationale: Smoking reduces placental blood flow, causing intrauterine growth restriction. It's not strongly linked to type 1 diabetes, hearing loss, or heart defects in this context.
Extract:
A woman in her 40th week of pregnancy unsure about true or false labor.
Question 4 of 5
A woman in her 40th week of pregnancy calls the nurse at the clinic and says she's not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?
Correct Answer: B
Rationale: False labor contractions often subside with activity like walking, unlike true labor signs of intense, regular contractions radiating from back to abdomen.
Extract:
A client who is at 38 weeks of gestation and is in the active phase of the first stage of labor
Question 5 of 5
A nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. Which of the following assessment findings is the first priority for the nurse to report to the provider?
Correct Answer: A
Rationale: Prolonged contractions without rest suggest hyperstimulation, risking fetal distress, requiring immediate reporting. Urge to push, clear fluid, and mucous plug are less urgent.