ATI RN
ATI Maternity Exam 3 Questions
Extract:
A client who is undergoing external fetal monitoring
Question 1 of 5
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Late decelerations suggest uteroplacental insufficiency; lateral positioning improves blood flow. Oxygen, leg elevation, and IV fluids are secondary.
Extract:
The nurse is performing a newborn physical assessment.
Question 2 of 5
The nurse is performing a newborn physical assessment and is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
Correct Answer: B
Rationale: The Moro reflex involves arm and leg extension then adduction when startled, indicating neurological health, unlike the other reflexes described.
Extract:
A client following an amniotomy who is now in the active phase of the first stage of labor
Question 3 of 5
A nurse is caring for a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct Answer: B
Rationale: Encouraging bladder emptying every 2 hours prevents obstruction of fetal descent. Lithotomy is for delivery, bearing down is for the second stage, and frequent exams risk infection.
Extract:
A client who is at 39 weeks of gestation and in active labor
Question 4 of 5
A nurse is creating the plan of care for a client who is at 39 weeks of gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Checking the cervix before analgesics ensures timely administration without delaying delivery. Catheters increase infection risk, bedrest limits mobility, and FHR monitoring should be more frequent.
Extract:
A client 4 months pregnant at her initial prenatal visit.
Question 5 of 5
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has a 7-year-old daughter who was born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:
Correct Answer: C
Rationale: GTPAL (4 pregnancies, 1 term, 1 preterm, 1 abortion, 2 living children) accurately reflects her history, unlike the incorrect calculations in other options.